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Contact Information

DR ANNA LLC
115 S PINE ST
CANYONVILLE, OR97417-9648
 Phone: 541-839-4211
 Fax: 541-839-4983
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Clinical Medical Laboratory

291U00000X 69 Clinical Laboratory
Indicates primary specialty

NPI Profile & details for DR ANNA LLC

NPI Number 1003210600
LBN Legal business name DR ANNA LLC
Authorized official KRISTIE DEBACA - (OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/10/2014
Last updated 06/07/2022 - About 4 years ago
Identifiers
OR License # MD26035
OR Other R141355 MEDICARE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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