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

Jaime Gwen Fan

Individual provider Certified Registered Nurse Anesthetist · NPI 1689569642

Jaime Gwen Fan is a Certified Registered Nurse Anesthetist (CRNA) in Clackamas, Oregon. Qualified in 2025, 1 year ago. Practices as a sole proprietor. Licensed in Oregon.

Years since qualifying
1
Licensed in
OR
In the registry since
2025

Practice location Address checks out

10180 SE Sunnyside Rd
Clackamas, OR 97015-8970
Phone: (503) 813-3860
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 · Licence 10055513 (OR)

Record details

NPI number1689569642
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 10, 2025
Last updated in NPPESJune 15, 2026
Certification dateJune 15, 2026

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated

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