Individual
ANNE MERILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2120 EXCHANGE ST STE 301, ASTORIA, OR 97103-3364
(503) 325-0241
Mailing address
2120 EXCHANGE ST STE 301, ASTORIA, OR 97103-3364
(503) 325-0241
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
171M00000X
CASE MANAGER
OR
Enumeration date
02/23/2015
Last updated
02/23/2015
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