Individual
DR. ANNE M SUTHERLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1700 SW 257TH AVE, TROUTDALE, OR 97060-1900
(503) 669-6800
(503) 491-2434
Mailing address
1700 SW 257TH AVE, TROUTDALE, OR 97060-1900
(503) 669-6800
(503) 491-1352
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD22396
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
069013001
BLUE CROSS/BLUE SHIELD
—
01
—
150756
WA LABOR & INDUSTRY
—
05
—
287558
—
OR
01
—
3004113-13
BLUE CROSS HMO
OR
01
—
7590294
AETNA
—
01
—
911768081
UNITED HEALTHCARE
—
01
—
ODS
911768081
OR
Enumeration date
05/05/2006
Last updated
10/18/2017
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