Anna Dyer, LCSW
Individual provider Active NPI Clinical Social Worker · Slem, OR
NPI 1043557622 · NPPES record last updated Jan 10, 2018
Key facts
- NPI
- 1043557622
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Practice address
- 2600 Center St. NE
Slem, OR 97301 - Phone
- (503) 945-7114
- NPI assigned
- Jan 15, 2013
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Yes |
Addresses
Primary practice location
2600 Center St. NE
Slem, OR 97301
Mailing address
2600 Center St. NE
Slem, OR 97301
Phone (503) 945-7114
Other names
- Anna Qualls
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 10, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.