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

Kathleen Peters

Individual provider Registered Nurse · NPI 1871272716

Kathleen Peters is a Certified Registered Nurse Anesthetist (CRNA) in Portland, Oregon. Qualified in 2023, 3 years ago. Practices with University Anesthesiology Associates LLC, a 240-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
3
Licensed in
OR
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3098
Phone: (503) 494-7246
Fax: (503) 494-8368
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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 10009598 (OR)
Registered Nurse Taxonomy 163W00000X · Licence 10009598 (OR)

Record details

NPI number1871272716
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 17, 2023
Last updated in NPPESNovember 7, 2023
Certification dateNovember 7, 2023

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice University Anesthesiology Associates Llc — 240 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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