Healthcare Provider Details

I. General information

NPI: 1689851487
Provider Name (Legal Business Name): JOHN POZAR CRNA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/24/2008
Last Update Date: 10/24/2025
Certification Date: 10/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2801 ST ANTHONY WAY
PENDLETON OR
97801-3800
US

IV. Provider business mailing address

PO BOX 905
PENDLETON OR
97801-0905
US

V. Phone/Fax

Practice location:
  • Phone: 541-276-5121
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number200960017CRNA
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: