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1396210100
ANNE WALLIS
PORTLAND, OR
NPI
1396210100
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WH0200X Registered Nurse, Home Health
(Licence: OR 201406034RN)
Enumeration Date
2018-10-08
Last Update Date
2018-10-08
Business Address
ANNE WALLIS RN
13007 NE GLISAN ST
PORTLAND, OR 97230-2545
Phone number: 503-215-7850
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Mailing Address
ANNE WALLIS RN
4531 SE BELMONT ST STE 100
PORTLAND, OR 97215-1675
Phone number: 503-215-6556
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