Annotti, Brenda R

Annotti, Brenda R is an individual health care provider with primary practice located at 3550 N Interstate Ave , Portland OR 97227. She recently has only one registered license in Nursing Service Providers / Gerontology, which is considered as her primary health care specialty. Annotti, Brenda R can be contacted via phone (503) 331-6440.

Contact Information

Primary practice address
3550 N Interstate Ave Portland OR 97227
Phone: (503) 331-6440
Fax: (503) 331-6445
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Gerontology 163WG0600X 091006966NI Oregon

Profile Details

NPI number 1255335295
LBN Legal business name Annotti, Brenda R
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2005
Last updated Jul 16th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255335295 NPPES
Other ANP0067 WORKERS COMPENSATION
MEDICAID 292510 WORKERS COMPENSATION

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