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

Jarred Odor

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1154989630

Jarred Odor is a Certified Registered Nurse Anesthetist (CRNA) in Portland, Maine. Qualified in 2021, 5 years ago. Practices with Portsmouth Anesthesia Associates PA, a 40-clinician group and accepts Medicare assignment. Licensed in New Hampshire.

Years since qualifying
5
Licensed in
NH
In the registry since
2019
Specialties on file
2

Practice location Address checks out

716 Stevens Ave
Portland, ME 04103-2693
Phone: (207) 221-4516
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 086213-23 (NH)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1154989630
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 30, 2019
Last updated in NPPESOctober 5, 2021
Certification dateOctober 5, 2021

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Portsmouth Anesthesia Associates Pa — 40 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Portland