Charles Annich, PSS/CRM is a
Peer Specialist based in Portland, Oregon. Charles Annich is licensed to practice in Oregon (license number 113891) and his current practice location is
1310 Sw 17th Ave, Portland, Oregon. He can be reached at his office (for appointments etc.) via phone at
(503) 231-2641.
NPI number for Charles Annich is 1194608901 and his current mailing address is 211 Se Caruthers St, Portland, Oregon. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1194608901.
Healthcare Provider's Profile
| Full Name | Charles Annich |
|---|
| Gender | Male |
|---|
| Speciality | Peer Specialist |
|---|
| Location | 1310 Sw 17th Ave, Portland, Oregon |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1194608901
- Provider Enumeration Date: 07/29/2025
- Last Update Date: 07/29/2025
Medical Identifiers
Medical identifiers for Charles Annich such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1194608901 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 24-CRM-3669 (Oregon) | Secondary |
| 175T00000X | Peer Specialist | 113891 (Oregon) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Charles Annich is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Charles Annich, PSS/CRM 211 Se Caruthers St, Portland, OR 97214-4502 Ph: (503) 224-1044 | Charles Annich, PSS/CRM 1310 Sw 17th Ave, Portland, OR 97201-2522 Ph: (503) 231-2641 |
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