Individual
MORRY A ANOTTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
7620 NE KILLINGSWORTH ST STE 100, PORTLAND, OR 97218-3763
(503) 858-0203
(503) 257-1433
Mailing address
PO BOX 1194, CORVALLIS, OR 97339-1194
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
201250053NP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2012500053NP
OR FNP LICENCE
OR
Enumeration date
05/30/2012
Last updated
02/04/2021
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