Rogue Anesthesia LLC
Anesthesiology in Grants Pass, OR. Organization (NPI-2).
NPI number1043248917
StatusActive
Last updated in NPPESNov 1, 2010
Details
- NPI
- 1043248917
- Entity type
- Organization (NPI-2)
- Legal business name
- Rogue Anesthesia LLC
- Organization subpart
- No
- Enumeration date
- Jun 29, 2006
- Last updated
- Nov 1, 2010
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207L00000X | Anesthesiology | MD18872 | OR | Yes |
Practice location
1601 Nw Hawthorne AveGrants Pass, OR 97526
Phone 541-472-4884
Mailing address
5319 Sw Westgate Dr241
Portland, OR 97221-2432
Phone 503-297-7223 · Fax 503-297-7603
Authorized official
Robert A Montgomery
Manager
5414724884
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