Individual
ANNA LATTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10911 NW QUARRY RD, PORTLAND, OR 97231-2617
(503) 111-1111
Mailing address
10911 NW QUARRY RD, PORTLAND, OR 97231-2617
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
MD26285
OR
Other
Enumeration date
05/19/2008
Last updated
10/09/2008
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