Individual
BRENDA R ANNOTTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F.N.P.
Contact information
Practice address
3550 N INTERSTATE AVE, PORTLAND, OR 97227
(503) 331-6440
(503) 331-6445
Mailing address
3550 N INTERSTATE AVE, PORTLAND, OR 97227-1196
(503) 331-6440
(503) 331-6445
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
Primary
091006966NI
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
292510
—
OR
01
—
ANP0067
WORKERS COMPENSATION
—
Enumeration date
06/08/2005
Last updated
07/16/2018
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