OrganizationActive
Shriners Hospitals for Children
NPI 1104314350 · Anesthesiology Physician · Portland, OR
Provider details
- NPI number
- 1104314350
- Entity type
- Organization
- Primary specialty
- Anesthesiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jerry Gantt, President(813) 281-0300
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3101 Sw Sam Jackson Park Rd
Portland, OR 97239-3009
Phone: (503) 241-5090
Fax: (503) 221-3701
Street-level locationGet directions
Mailing address
Po Box 8500 Lockbox #7642
Philadelphia, PA 19178-7642
Other names (DBA / former)
- Other name
- Shriners Hospitals for Children Professional Anesthesia Services
- Other name
- Shriners Hospitals for Children Professional Anesthesia Services
Registry dates
- Enumerated
- 2018-04-24
- Last updated
- 2018-04-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.