Individual
ANNIKA SPEARS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4400 NE HALSEY ST, PORTLAND, OR 97213-1545
(555) 555-5555
Mailing address
17853 SE CANDY LN, MILWAUKIE, OR 97267
(214) 801-7996
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
202005390RN
OR
Other
Enumeration date
07/29/2025
Last updated
07/29/2025
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