Waters, Anna

Waters, Anna is an individual health care provider with primary practice located at 5319 Sw Westgate Dr Ste 120, Portland OR 97221-2313. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Waters, Anna can be contacted via phone (503) 297-4052.

Contact Information

Primary practice address
5319 Sw Westgate Dr Ste 120 Portland OR 97221-2313
Fax: (503) 297-4401
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 13313 Oregon

Profile Details

NPI number 1902289929
LBN Legal business name Waters, Anna
Credentials ED.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2015
Last updated Aug 23rd, 2016 - about 10 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 1902289929 NPPES
Oregon MEDICAID 500693103

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