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

Nicholas Andrew Willis

Individual provider Registered Nurse · NPI 1609429125

Nicholas Andrew Willis is a Certified Registered Nurse Anesthetist (CRNA) in Portland, Oregon. Qualified in 2022, 4 years ago. Practices with Peacehealth, a 187-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
4
Licensed in
OR
In the registry since
2019

Practice location Address checks out

3455 SW US Veterans Hospital Rd
Portland, OR 97239-3076
Phone: (360) 431-4408
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 201900742RN (OR)

Record details

NPI number1609429125
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 23, 2019
Last updated in NPPESJuly 23, 2019
Mailing address3455 Sw Us Veterans Hospital Rd, Portland, OR 97239-3076

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Peacehealth — 187 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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