Healthcare Provider Details

I. General information

NPI: 1649183435
Provider Name (Legal Business Name): ANNA REED TINKER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/23/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2955 N HIGHWAY 97
BEND OR
97703-7559
US

IV. Provider business mailing address

433 NE NORTON AVE UNIT B
BEND OR
97701-4381
US

V. Phone/Fax

Practice location:
  • Phone: 541-205-9290
  • Fax:
Mailing address:
  • Phone: 206-661-3192
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberA18812
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: