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

Jaclyn Whitney Short

Individual provider Registered Nurse · NPI 1699144774

Jaclyn Whitney Short is a Certified Registered Nurse Anesthetist (CRNA) in Portland, Oregon. Qualified in 2010, 16 years ago. Practices with South Denver Gastroenterology, PC, a 53-clinician group and accepts Medicare assignment. Licensed in Colorado and Oregon.

Years since qualifying
16
Licensed in
CO, OR
In the registry since
2015
Specialties on file
2
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Practice location Address checks out

3455 SW US Veterans Hospital Rd
Portland, OR 97239
Phone: (970) 420-5017
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 201801406CRNA-PP (OR)
Registered Nurse Taxonomy 163W00000X · Licence RN.0195636 (CO)

Record details

NPI number1699144774
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 18, 2015
Last updated in NPPESAugust 18, 2018
Mailing address3455 Sw Us Veterans Hospital Rd, Portland, OR 97239-3076

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice South Denver Gastroenterology, P.C — 53 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Portland