Anne Agriesti

Individual provider Active NPI Case Manager/Care Coordinator · Milwaukie, OR

NPI 1376199026 · NPPES record last updated Aug 16, 2019

Key facts

NPI
1376199026
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
4105 SE International Way Ste 501
Milwaukie, OR 97222-8855
Phone
(503) 496-3201
NPI assigned
Aug 16, 2019
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Lifeworks NW Current
since Aug 18, 2019
Accepting new patients

Locations

4105 SE International Way
Ste 501
Portland, OR 97222
Phone (503) 496-3201

14600 NW Cornell Rd
Portland, OR 97229

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

4105 SE International Way Ste 501
Milwaukie, OR 97222-8855

Mailing address

14600 NW Cornell Rd
Portland, OR 97229-5442
Phone (503) 645-3581

Other providers in Milwaukie, OR

All providers in Milwaukie, OR · Case Manager/Care Coordinator in Oregon

Sources for this page

Verify at the official NPI Registry.