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

Jonathan Ulises De la Torre

Individual provider Certified Registered Nurse Anesthetist · NPI 1578300539

Jonathan Ulises De la Torre is a Certified Registered Nurse Anesthetist (CRNA) in Portland, Oregon. Qualified in 2024, 2 years ago. Practices with Noble Dreams Anesthesia LLC, a 5-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
2
Licensed in
OR
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

9205 SW Barnes Rd
Portland, OR 97225-6603
Phone: (503) 216-1234
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4805 Ne Glisan St, Portland, OR 97213-2933 — (503) 215-1111

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 10028588 (OR)
Registered Nurse Taxonomy 163W00000X · Licence 10028588 (OR)

Record details

NPI number1578300539
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 9, 2024
Last updated in NPPESSeptember 18, 2024
Certification dateSeptember 18, 2024
Mailing address9205 Sw Barnes Rd, Portland, OR 97225-6603

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Noble Dreams Anesthesia Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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