Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NI0013X | Independent Medical Examiner | 3892 | OR |
NPI | 1093954810 |
---|---|
Provider Name | Mrs. Anna Louise Rossi |
First Address | Mcminnville, OR 97128-8178 |
Second Address | Newberg, OR 97132-2822 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/02/2009 |
Last Update Date | 28/08/2009 |