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

Shriners Hospitals for Children

Organization Anesthesiology Physician · NPI 1104314350

Shriners Hospitals for Children is an Anesthesiology Physician in Portland, Oregon. Registered with an NPI since 2018.

In the registry since
2018

Practice location Address checks out

3101 SW Sam Jackson Park Rd
Portland, OR 97239-3009
Phone: (503) 241-5090
Fax: (503) 221-3701
Show map & directions

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

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X

Record details

NPI number1104314350
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jerry Gantt — President · (813) 281-0300
Other names Shriners Hospitals For Children Professional Anesthesia Services; Shriners Hospitals For Children Professional Anesthesia Services
NPI enumeratedApril 24, 2018
Last updated in NPPESApril 24, 2018
Mailing addressPo Box 8500 Lockbox #7642, Philadelphia, PA 19178-7642

Other providers in Portland