Individual
BRYCE ANNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
500 N COLUMBIA RIVER HWY STE 6, SAINT HELENS, OR 97051-1201
(503) 397-0471
Mailing address
PO BOX 4399, PORTLAND, OR 97208-4399
(503) 413-3900
(503) 413-3710
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA190698
OR
363A00000X
Physician Assistant
—
—
Other
Enumeration date
09/26/2018
Last updated
01/17/2019
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