Healthcare Provider Details

I. General information

NPI: 1982515144
Provider Name (Legal Business Name): ANNA SAIMI CZUK AGPCNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21295 NE LAUGHLIN RD
YAMHILL OR
97148-8418
US

IV. Provider business mailing address

21295 NE LAUGHLIN RD
YAMHILL OR
97148-8418
US

V. Phone/Fax

Practice location:
  • Phone: 503-313-1634
  • Fax:
Mailing address:
  • Phone: 503-313-1634
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number10067099
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: