Individual
ANNIKA BURNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2705 E BURNSIDE ST, PORTLAND, OR 97214
(424) 210-5858
Mailing address
2705 E BURNSIDE ST STE 206, PORTLAND, OR 97214-1768
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
213705
OR
2084P0800X
Psychiatry Physician
Primary
A158427
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/21/2017
Last updated
01/06/2023
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