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NPI Code Detail

MEDICARE: ANNA MOTULSKY MD

MEDICARE: ANNA MOTULSKY MD
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1437945763
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNA MOTULSKY MD
Provider Business Mailing Address
First Line : 7928 SE 21ST AVE
Second Line :
City : PORTLAND
State : OR
Zip : 97202-6803
Country : US
Telephone Number : 503-701-6914
Fax Number :
Provider Business Practice Location Address
First Line : 525 E 68TH ST
Second Line :
City : NEW YORK
State : NY
Zip : 10065-4870
Country : US
Telephone Number : 212-746-5026
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/15/2025
Last Update Date : 04/15/2025

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