Annabell M Landis
Counselor, Mental Health in Portland, OR. Individual provider (NPI-1).
NPI number1871069179
StatusActive
Last updated in NPPESOct 19, 2020
Details
- NPI
- 1871069179
- Entity type
- Individual (NPI-1)
- Name
- Annabell M Landis
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 15, 2018
- Certification date
- Oct 19, 2020
- Last updated
- Oct 19, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
17710 Ne Halsey StPortland, OR 97230-6734
Phone 503-328-8311 · Fax 503-328-8499
Mailing address
3587 Heathrow WayMedford, OR 97504-4004
Phone 541-858-8170 · Fax 541-858-8167
Other practice locations
17720 Ne Halsey St Ste A
Portland, OR 97230-6771
Portland, OR 97230-6771
Phone 503-654-7654 · Fax 503-654-7333
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