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

Miss. Jolie Rosanne Dietzen, CRNA

Individual provider Registered Nurse · NPI 1831618594

Miss. Jolie Rosanne Dietzen, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Portland, Oregon. Qualified in 2019, 7 years ago. Practices with University Anesthesiology Associates LLC, a 240-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
7
Licensed in
OR
In the registry since
2017
Specialties on file
2
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) 494-7641
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 202000077CRNA (OR)
Registered Nurse Taxonomy 163W00000X · Licence 201703087RN (OR)

Record details

NPI number1831618594
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedSeptember 14, 2017
Last updated in NPPESMarch 13, 2020
Certification dateMarch 13, 2020

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice University Anesthesiology Associates Llc — 240 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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