Ann Anthony, MD
Individual provider Active NPI Family Medicine Physician · Portland, OR
NPI 1104001007 · NPPES record last updated Feb 27, 2019
Key facts
- NPI
- 1104001007
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- MD10315 (OR)
- Practice address
- 2250 NW Flanders St
Ste 301
Portland, OR 97210-5411 - Phone
- (503) 223-1434
- NPI assigned
- Jan 9, 2008
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychoanalyst | 102L00000X | |||
| Family Medicine Physician | 207Q00000X | MD10315 | OR | Yes |
Addresses
Primary practice location
2250 NW Flanders St
Ste 301
Portland, OR 97210-5411
Mailing address
2250 NW Flanders
Suite 301
Portland, OR 97210
Phone (503) 223-1434
Other providers in Portland, OR
- Amanda Cenzina Antenucci
- Christine Marie Anterasian
- David Fernando Antezana
- Anthony M El Youssef DMD PC
- Sarah Anthony-Hilgert
- Emily Ann Anthony
- Emily Marie Anthony
- Lee Michael Anthony
- Melanie Anthony
- Rachel Anthony
All providers in Portland, OR · Family Medicine Physician in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 27, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.