Individual
ANNA RASK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2801 N GANTENBEIN AVE, PORTLAND, OR 97227-1623
(503) 413-5397
(503) 413-3370
Mailing address
2801 N GANTENBEIN AVE, PORTLAND, OR 97227-1623
(503) 413-5397
(503) 413-3370
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
THW000110329
OR
Other
Enumeration date
06/17/2024
Last updated
06/17/2024
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