NPI 1104001007 · live from the CMS NPI Registry
Ann Anthony, MD
Family Medicine in Portland, OR. National Provider Identifier 1104001007, active.
NPI record
| NPI | 1104001007 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 2250 Nw Flanders St, Ste 301, Portland, OR 97210 |
| Practice phone | 503-223-1434 |
| Mailing address | 2250 Nw Flanders, Suite 301, Portland, OR 97210 |
| Enumerated | January 9, 2008 |
| Last updated | February 27, 2019 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychoanalyst | 102L00000X | — |
| Family Medicine primary | 207Q00000X | MD10315 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.