Anderson, Anna R

Anderson, Anna R is an individual health care provider with primary practice located at 200 Sw Market St #L120, Portland OR 97201-5715. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Anderson, Anna R can be contacted via phone (503) 223-8147.

Contact Information

Primary practice address
200 Sw Market St #L120 Portland OR 97201-5715
Phone: (503) 223-8147
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 13504 California
Eye and Vision Services Providers / Optometrist 152W00000X 1697 Arizona
Eye and Vision Services Providers / Optometrist 152W00000X 3284AT Oregon

Profile Details

NPI number 1376707984
LBN Legal business name Anderson, Anna R
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2008
Last updated Sep 4th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376707984 NPPES
Arizona MEDICAID 554653

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