Individual
ANALIESE BANNISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
18911 PORTLAND AVE, GLADSTONE, OR 97027-1630
(503) 722-6801
(503) 722-6810
Mailing address
18911 PORTLAND AVE, GLADSTONE, OR 97027-1630
(503) 722-6801
(503) 722-6810
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
094000395RN
OR
171M00000X
Case Manager/Care Coordinator
094000395RN
OR
Other
Enumeration date
08/23/2017
Last updated
07/21/2022
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