Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Cody Crockett

Individual provider Certified Registered Nurse Anesthetist · NPI 1306523840

Cody Crockett is a Certified Registered Nurse Anesthetist in Portland, Oregon. Works from 2 locations. Licensed in Oregon.

Licensed in
OR
In the registry since
2023

Practice location Address checks out

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone: (503) 494-7641
Fax: (503) 494-4661
Show map & directions

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

Additional practice locations (1)

  • 3455 Sw Us Veterans Hospital Rd, Portland, OR 97239-3076 — (503) 494-7725

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 10064069 (OR)

Record details

NPI number1306523840
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 28, 2023
Last updated in NPPESSeptember 22, 2026
Certification dateSeptember 22, 2026

Other providers in Portland