Provider Demographics
NPI:1922046986
Name:ZELL, ANNA E (LAC)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:E
Last Name:ZELL
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38530 PLEASANT AVE
Mailing Address - Street 2:
Mailing Address - City:SANDY
Mailing Address - State:OR
Mailing Address - Zip Code:97055-6395
Mailing Address - Country:US
Mailing Address - Phone:503-668-7631
Mailing Address - Fax:503-231-1503
Practice Address - Street 1:38530 PLEASANT AVE
Practice Address - Street 2:
Practice Address - City:SANDY
Practice Address - State:OR
Practice Address - Zip Code:97055-6395
Practice Address - Country:US
Practice Address - Phone:503-668-7631
Practice Address - Fax:503-231-1503
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-03
Last Update Date:2011-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORAC00717171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist