Individual
ANNA CECELIA BOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN/QMHP
Contact information
Practice address
17640 NE HALSEY ST, PORTLAND, OR 97230-6733
(503) 489-5045
(503) 489-5638
Mailing address
3587 HEATHROW WAY, MEDFORD, OR 97504-4004
(541) 858-8170
(541) 858-8167
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
202001487RN
OR
Other
Enumeration date
04/21/2020
Last updated
04/21/2020
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