Provider Demographics
NPI:1689046161
Name:OGUNRINDE, MEAGAN LYNN
Entity Type:Individual
Prefix:
First Name:MEAGAN
Middle Name:LYNN
Last Name:OGUNRINDE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MEAGAN
Other - Middle Name:LYNN
Other - Last Name:AURANDT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNA
Mailing Address - Street 1:30480 SW BOONES FERRY RD
Mailing Address - Street 2:APT 316
Mailing Address - City:WILSONVILLE
Mailing Address - State:OR
Mailing Address - Zip Code:97070-6814
Mailing Address - Country:US
Mailing Address - Phone:412-951-3822
Mailing Address - Fax:
Practice Address - Street 1:265 BROCKVIEW CENTRE WAY
Practice Address - Street 2:SUITE 400
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37919
Practice Address - Country:US
Practice Address - Phone:561-623-2035
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-10-23
Last Update Date:2015-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR20150118RN163W00000X
CA752036163W00000X
OR201503992CRNA367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163W00000XNursing Service ProvidersRegistered Nurse