Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Innovus Anesthesia LLC

Organization Anesthesiology Physician · NPI 1619558350

Innovus Anesthesia LLC is an Anesthesiology Physician in Portland, Oregon. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9701 SW Barnes Rd Ste 300
Portland, OR 97225-6689
Phone: (843) 651-2624
Fax: (843) 491-4023
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X
Anesthesiology Physician Taxonomy 207L00000X

Record details

NPI number1619558350
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Mitchell — Managing Mbr · (843) 651-2624
NPI enumeratedApril 15, 2021
Last updated in NPPESApril 15, 2021
Certification dateApril 15, 2021
Mailing addressPo Box 4860, Murrells Inlet, SC 29576-2698

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