Individual
ANNA CHRISTINE MIKULIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10690 NE CORNELL RD STE 220, HILLSBORO, OR 97124-9224
(503) 848-5861
Mailing address
7320 SW HUNZIKER RD STE 300, PORTLAND, OR 97223-2302
(503) 941-3033
(503) 747-7013
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD192549
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500672939
—
OR
Enumeration date
04/02/2014
Last updated
04/20/2020
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