NPI Profile for ANNA C BOX in PORTLAND, OR.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Psychiatric/Mental Health |
163WP0808X | |||
Mental Health |
101YM0800X |
| NPI Number | 1629698576 |
|
| Status | Active | |
| Credentials | RN/QMHP | |
| Entity | Individual | |
| Enumeration date | 04/21/2020 | |
| Last updated | 04/21/2020 - About 6 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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ANNA C BOX
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