Provider Demographics
NPI:1225198971
Name:MORROW, ANNA (COF)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:
Last Name:MORROW
Suffix:
Gender:F
Credentials:COF
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 66364
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97290-6364
Mailing Address - Country:US
Mailing Address - Phone:503-774-1125
Mailing Address - Fax:503-772-0030
Practice Address - Street 1:6534 SE 70TH AVE
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97206-7348
Practice Address - Country:US
Practice Address - Phone:503-774-1125
Practice Address - Fax:500-377-2003
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR404426225000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225000000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotic Fitter