MEDICARE: DR. ANU K. MAKYNEN PH.D.

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
1	103TC0700X	Clinical Psychologist	PS 892	ME

General Provider Information

NPI Number	:	1407068943
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANU K. MAKYNEN PH.D.

Provider Business Mailing Address
First Line	:	12 RUDMAN RD
Second Line	:
City	:	PORTLAND
State	:	ME
Zip	:	04102-2220
Country	:	US
Telephone Number	:	207-671-4113
Fax Number	:

Provider Business Practice Location Address
First Line	:	22 FREE ST
Second Line	:
City	:	PORTLAND
State	:	ME
Zip	:	04101-3960
Country	:	US
Telephone Number	:	207-671-4113
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/04/2007
Last Update Date	:	12/12/2011

Similar Medicare Providers

1417034711 — ANNE HALLWARD MD
Practice Location Address:

22 FREE ST , SUITE 402
PORTLAND, ME
04101-3960

Practice Phone: 207-651-6412
Practice Fax: 207-773-0709

1093841231 — ASSOCIATES FOR PSYCHOTHERAPY
Practice Location Address:

22 FREE ST , SUITE 402
PORTLAND, ME
04101-3960

Practice Phone: 207-774-5741
Practice Fax: 207-772-4322

1245709450 — MARGARET MURPHY LCSW
Practice Location Address:

22 FREE ST
PORTLAND, ME
04101-3960

Practice Phone: 917-770-7874
Practice Fax:

1396957817 — PT & OT OF OREGON, LLC
Practice Location Address:

4305 SE MILWAUKIE AVE
PORTLAND, OR
97202-3960

Practice Phone: 503-232-3955
Practice Fax:

1699325530 — FOUNDATIONS PEDIATRIC THERAPY, LLC
Practice Location Address:

4305 SE MILWAUKIE AVE
PORTLAND, OR
97202-3960

Practice Phone: 971-236-3036
Practice Fax: 877-335-7643

1881293215 — OREGON CHANGE CLINIC, LLC
Practice Location Address:

1817 NE 6TH AVE
PORTLAND, OR
97212-3960

Practice Phone: 909-455-4838
Practice Fax:

Directions to “ DR. ANU K. MAKYNEN PH.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.