IndividualActive
Jaclyn Short
NPI 1699144774 · Certified Registered Nurse Anesthetist · Portland, OR
Provider details
- NPI number
- 1699144774
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- RN.0195636 (CO)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Practice location
3455 Sw US Veterans Hospital Rd
Portland, OR 97239
Phone: (970) 420-5017
Approximate (ZIP-level) locationGet directions
Mailing address
3455 Sw US Veterans Hospital Rd
Portland, OR 97239-3076
Registry dates
- Enumerated
- 2015-09-18
- Last updated
- 2018-08-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.