Individual
ANNA GABRIELE GREGORY SPANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CNM, NP
Contact information
Practice address
2705 E BURNSIDE ST, STE 114, PORTLAND, OR 97214-1763
(503) 215-6262
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
200850119NP
OR
367A00000X
Advanced Practice Midwife
Primary
200850119NP
OR
390200000X
Student in an Organized Health Care Education/Training Program
200540605RN
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500606135
—
OR
Enumeration date
08/13/2007
Last updated
10/19/2020
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