Dr Anna LLC

NPI #1003210600 in Canyonville, Oregon

Provider Information

NPI Number: 1003210600
Entity Type: Organization
Organization Name: Dr Anna LLC
Primary Specialty: Internal Medicine
Enumeration Date: Oct 10, 2014
Last Updated: Jun 7, 2022

Practice Location

Address: 115 S PINE ST
City: Canyonville
State: Oregon
ZIP Code: 97417-9648
Phone: (541) 839-4211

Authorized Official

Name: KRISTIE DEBACA
Title: OFFICE MANAGER
Phone: (541) 391-4053

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinical Medical Laboratory	291U00000X
Internal Medicine	207R00000X	Primary

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