Provider Demographics
NPI:1750829289
Name:KAISER, ANYA
Entity Type:Individual
Prefix:
First Name:ANYA
Middle Name:
Last Name:KAISER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:932 W 7TH AVE
Mailing Address - Street 2:APT #07
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97402-4666
Mailing Address - Country:US
Mailing Address - Phone:607-592-8499
Mailing Address - Fax:
Practice Address - Street 1:932 W 7TH AVE
Practice Address - Street 2:APT #07
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97402-4666
Practice Address - Country:US
Practice Address - Phone:607-592-8499
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-02-03
Last Update Date:2017-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor