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Find providers by NPI
Organization

DR ANNA LLC

Active
Other names
Canyonville Health and Urgent Care
Organization subpart
No

Provider details

NPI number
Authorized official
KRISTIE DEBACA (OFFICE MANAGER)
(541) 391-4053
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD26035
OR
291U00000X
Clinical Medical Laboratory

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
R141355
MEDICARE
OR
Enumeration date
10/10/2014
Last updated
06/07/2022
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