# DR ANNA LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Canyonville Health and Urgent Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003210600
- **Authorized official:** KRISTIE DEBACA (OFFICE MANAGER)
- **Authorized official phone:** (541) 391-4053

## Contact information

- **Practice address:** 115 S PINE ST, CANYONVILLE, OR 97417-9648
- **Practice address phone:** (541) 839-4211
- **Practice address fax:** (541) 839-4983
- **Mailing address:** PO BOX 888, CANYONVILLE, OR 97417-0888
- **Mailing address phone:** (541) 839-4211
- **Mailing address fax:** (541) 839-4983

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | MD26035 | OR | Yes |
| 291U00000X | Clinical Medical Laboratory | — | NULL | — |

## Other

- **Enumeration date:** 10/10/2014
- **Last updated:** 06/07/2022