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

Individual provider Certified Registered Nurse Anesthetist · NPI 1669607180

John R Kopacek, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Portland, Oregon. Qualified in 2009, 17 years ago. Practices with University Anesthesiology Associates LLC, a 240-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
17
Licensed in
OR
In the registry since
2009
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone: (503) 494-8311
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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 201260009CRNA (OR)

Record details

NPI number1669607180
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedMay 28, 2009
Last updated in NPPESMarch 29, 2013

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice University Anesthesiology Associates Llc — 240 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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