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NPI Code Detail

MEDICARE: ANNAND COUNSELING CENTR

MEDICARE: ANNAND COUNSELING CENTR
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
1101YM0800XMental Health CounselorLETTER OF APPROVALOR

General Provider Information

NPI Number : 1548328354
Entity Type Code : Organization
Provider Name (Legal Business Name) : ANNAND COUNSELING CENTR
Provider Business Mailing Address
First Line : 10920 SW BARBUR BLVD STE 201
Second Line :
City : PORTLAND
State : OR
Zip : 97219-8600
Country : US
Telephone Number : 503-297-4363
Fax Number : 503-292-3415
Provider Business Practice Location Address
First Line : 10920 SW BARBUR BLVD STE 201
Second Line :
City : PORTLAND
State : OR
Zip : 97219-8600
Country : US
Telephone Number : 503-297-4363
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MRS. SHERRYE PENDARVIS ANNAND
Credential : M.A.
Telephone Number : 503-297-4363
Provider Enumeration Date : 12/05/2006
Last Update Date : 08/22/2020

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Directions to “ANNAND COUNSELING CENTR ” Practice Location

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