Douglas A Nasstrom, CRNA
Nurse Anesthetist, Certified Registered in Coos Bay, OR. Individual provider (NPI-1).
NPI number1760435820
StatusActive
Last updated in NPPESJul 13, 2026
Details
- NPI
- 1760435820
- Entity type
- Individual (NPI-1)
- Name
- Douglas A Nasstrom
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 18, 2006
- Last updated
- Jul 13, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
- 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 |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 200460037CRNA | OR | Yes |
Practice location
1775 Thompson RdCoos Bay, OR 97420-2125
Phone 541-269-8020
Mailing address
Po Box 3491860 Virginia Avenue, Ste 9
North Bend, OR 97459-0106
Phone 541-756-2070 · Fax 541-756-1999
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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