Provider Demographics
NPI:1851837843
Name:STRAHL, ANITA LYNN
Entity Type:Individual
Prefix:MS
First Name:ANITA
Middle Name:LYNN
Last Name:STRAHL
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:ANITA
Other - Middle Name:LYNN
Other - Last Name:CAFFEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5001 SE 30TH AVE
Mailing Address - Street 2:#72
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97202-4583
Mailing Address - Country:US
Mailing Address - Phone:760-277-7540
Mailing Address - Fax:
Practice Address - Street 1:41521 W 11 MILE RD
Practice Address - Street 2:
Practice Address - City:NOVI
Practice Address - State:MI
Practice Address - Zip Code:48375-1803
Practice Address - Country:US
Practice Address - Phone:248-299-0030
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-01-13
Last Update Date:2017-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other