- Practice location
- 716 Stevens Ave, Portland, ME 04103-2693
- Phone
- 207-221-4516
- Fax
- —
- Last updated
- October 5, 2021
Jarred Odor is a Nurse Anesthetist, Certified Registered based in Portland, ME. Jarred Odor practices in Portland, ME. The NPI Number for Jarred Odor is 1154989630 and holds a License No. 086213-23 (NH). The current practice location address for Jarred Odor is 716 Stevens Ave, Portland, ME 04103-2693 and can be reached out via phone at 207-221-4516.
Provider Profile Details
- NPI Number
- 1154989630
- Provider Name
- Jarred Odor
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 716 Stevens Ave, Portland, ME 04103-2693
- Phone Number
- 207-221-4516
- Primary Taxonomy
- Nurse Anesthetist, Certified Registered · 367500000X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 30, 2019
- Last Update Date
- October 5, 2021
- Certification Date
- October 5, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 716 Stevens Ave
Portland, ME 04103-2693 - City
- Portland
- State
- Maine
- Zip
- 04103-2693
- Phone Number
- 207-221-4516
Provider Business Mailing Address Details
- Address
- 19 Bayview Drive
Eliot, ME 03903 - City
- Eliot
- State
- ME
- Zip
- 03903
- Phone Number
- 207-608-1901
License Information
- Taxonomy (1)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (2)
- 086213-23
- License State (2)
- NH
- Taxonomy (2)
- Nurse Anesthetist, Certified Registered · 367500000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Jarred Odor?
The NPI number of Jarred Odor is 1154989630. It was assigned on May 30, 2019 and is currently active in the NPPES registry.
What is the specialty of Jarred Odor?
Jarred Odor is registered under the primary taxonomy Nurse Anesthetist, Certified Registered (code 367500000X), licensed in NH under license number 086213-23.
Where does Jarred Odor practice?
The practice location is 716 Stevens Ave, Portland, ME 04103-2693. The office can be reached at 207-221-4516 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1154989630 directly on the NPPES registry website.