KATHLEEN COOK CRNA NPI 1699703181

NPI Information

  • NPI: 1699703181
  • Provider Name: KATHLEEN COOK, CRNA
  • Classification: Nurse Anesthetist, Certified Registered - 367500000X
  • Entity Type: Individual
  • Address: 3181 SW SAM JACKSON PARK RD
    PORTLAND, OR
    ZIP 97239
  • Phone: (503) 494-0924

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NPI Details

Kathleen Cook, CRNA is a nurse anesthetist certified registered in Portland, OR. The provider is (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. Kathleen Cook, CRNA NPI is 1699703181. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3181 SW SAM JACKSON PARK RD
PORTLAND, OR
ZIP 97239-011
Phone: (503) 494-0924

The enumeration date for this NPI number is 6/30/2006 and was last updated on 8/4/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1367500000XNurse Anesthetist, Certified Registered4704111690MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1104314270MEDICAIDMICHIGAN
2N24360004MEDICARE ID-TYPE UNSPECIFIEDMICHIGAN
3430062015MEDICARE ID-TYPE UNSPECIFIEDMICHIGANRAILROAD MEDICARE
4KC111690OTHERMICHIGANBLUE CROSS OF MI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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