Michael Thomas Vincent, CRNA
Nurse Anesthetist, Certified Registered in Portland, OR. Individual provider (NPI-1).
NPI number1699335331
StatusActive
Last updated in NPPESFeb 11, 2026
Details
- NPI
- 1699335331
- Entity type
- Individual (NPI-1)
- Name
- Michael Thomas Vincent
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 14, 2019
- Certification date
- Feb 11, 2026
- Last updated
- Feb 11, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 9161774 | ID | Yes |
| 207LC0200X | Anesthesiology, Critical Care Medicine | 10023628 | OR | |
| 163W00000X | Registered Nurse | RN170524 | AZ |
Practice location
4805 Ne Glisan StPortland, OR 97213-2933
Phone 503-215-1111
Mailing address
4805 Ne Glisan StPortland, OR 97213-2933
Phone 503-215-1111
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