Healthcare Provider Details

I. General information

NPI: 1790197879
Provider Name (Legal Business Name): ANNE L ARTHUR BFA, MA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ANNE L GULDIN BFA, MA

II. Dates (important events)

Enumeration Date: 05/23/2014
Last Update Date: 05/23/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

727 W BURNSIDE ST
PORTLAND OR
97209-3514
US

IV. Provider business mailing address

232 NW 6TH AVE
PORTLAND OR
97209-3609
US

V. Phone/Fax

Practice location:
  • Phone: 503-228-4533
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: