IndividualActive
Alisa Larson, CRNA
NPI 1245034958 · Certified Registered Nurse Anesthetist · Portland, OR
Provider details
- NPI number
- 1245034958
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNA
- Sex
- Female
- Sole proprietor
- No
- License
- 10045113 (OR)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
4805 Ne Glisan St
Portland, OR 97213-2933
Phone: (503) 215-1111
Street-level locationGet directions
Mailing address
4805 Ne Glisan St
Portland, OR 97213-2933
Registry dates
- Enumerated
- 2025-04-02
- Last updated
- 2025-10-30
- Certified
- 2025-10-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.