Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jaclyn Whitney Short

Individual provider Registered Nurse · NPI 1699144774

Jaclyn Whitney Short is a Certified Registered Nurse Anesthetist (CRNA) in Portland, Oregon. Qualified in 2010, 16 years ago. Practices with South Denver Gastroenterology, PC, a 53-clinician group and accepts Medicare assignment. Licensed in Colorado and Oregon.

Years since qualifying
16
Licensed in
CO, OR
In the registry since
2015
Specialties on file
2
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Practice location Address checks out

3455 SW US Veterans Hospital Rd
Portland, OR 97239
Phone: (970) 420-5017
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 201801406CRNA-PP (OR)
Registered Nurse Taxonomy 163W00000X · Licence RN.0195636 (CO)

Record details

NPI number1699144774
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 18, 2015
Last updated in NPPESAugust 18, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice South Denver Gastroenterology, P.C — 53 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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