Mikelle J Adamczyk, CRNA
Nurse Anesthetist, Certified Registered in Portland, Oregon
1053580936- Practice location
- 3181 SW Sam Jackson Park RD, Portland, OR 97239-3011
- Phone
- 503-494-7641
- Fax
- 503-494-4661
- Last updated
- June 18, 2025
Mikelle J Adamczyk, CRNA is a Nurse Anesthetist, Certified Registered based in Portland, OR. Mikelle J Adamczyk, CRNA holds the professional credentials of CRNA. The NPI number for Mikelle J Adamczyk, CRNA is 1053580936 and holds license No. 201900978CRNA (OR). The current practice location address is 3181 SW Sam Jackson Park RD, Portland, OR 97239-3011 and the office can be reached by phone at 503-494-7641 and by fax at 503-494-4661. The NPI was assigned on February 26, 2008 and the record was last updated in NPPES on June 18, 2025.
●Provider Profile Details
- NPI Number
- 1053580936
- Provider Name
- Mikelle Jenee Adamczyk
- Credential
- CRNA
- Entity Type
- Individual (Type 1 NPI)
- Gender
- Female
- Primary Taxonomy
- Nurse Anesthetist, Certified Registered · 367500000X
- Sole Proprietor
- No
- Enumeration Date
- February 26, 2008
- Last Update Date
- June 18, 2025
- Certification Date
- June 18, 2025
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 3181 SW Sam Jackson Park RD
Portland, OR 97239-3011 - City
- Portland
- State
- Oregon
- ZIP
- 97239-3011
- Country
- US
- Phone Number
- 503-494-7641
- Fax Number
- 503-494-4661
✉Business Mailing Address
- Address
- 3181 SW Sam Jackson Park RD
Mail Code Sjh-2
Portland, OR 97239 - City
- Portland
- State
- OR
- ZIP
- 97239
- Phone Number
- 503-494-7246
- Fax Number
- 503-494-8368
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Nurse Anesthetist, Certified Registered | 367500000X | Yes | 201900978CRNA | OR |
| Nurse Anesthetist, Certified Registered | 367500000X | No | 4704217848 | MI |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
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View all providers in Portland →?Frequently Asked Questions
What is the NPI number of Mikelle J Adamczyk, CRNA?
The NPI number of Mikelle J Adamczyk, CRNA is 1053580936. It was assigned on February 26, 2008 and is currently active in the NPPES registry.
What is the specialty of Mikelle J Adamczyk, CRNA?
Mikelle J Adamczyk, CRNA is registered under the primary taxonomy Nurse Anesthetist, Certified Registered (code 367500000X) and holds license No. 201900978CRNA (OR).
Where does Mikelle J Adamczyk, CRNA practice?
The practice location is 3181 SW Sam Jackson Park RD, Portland, OR 97239-3011. The office can be reached at 503-494-7641 (phone) or 503-494-4661 (fax).
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 1053580936 directly on the NPPES registry website at npiregistry.cms.hhs.gov.