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NPI Code Detail

MEDICARE: ANNA MARKOVICH LMFT

MEDICARE: ANNA MARKOVICH LMFT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family TherapistT0435OR

General Provider Information

NPI Number : 1548399454
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNA MARKOVICH LMFT
Provider Business Mailing Address
First Line : 14600 NW CORNELL RD
Second Line :
City : PORTLAND
State : OR
Zip : 97229-5442
Country : US
Telephone Number : 503-645-3581
Fax Number : 503-533-0152
Provider Business Practice Location Address
First Line : 971 SW WALNUT ST
Second Line :
City : HILLSBORO
State : OR
Zip : 97123-5651
Country : US
Telephone Number : 503-640-5297
Fax Number : 503-640-5780
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/05/2007
Last Update Date : 07/08/2007

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Directions to “ ANNA MARKOVICH LMFT” Practice Location

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