| Brenda R Annotti, FNP | |
|
3550 N Interstate Ave, Portland, OR 97227 | |
| (503) 331-6440 | |
| (503) 331-6445 |
| Full Name | Brenda R Annotti |
|---|---|
| Gender | Female |
| Speciality | Registered Nurse - Gerontology |
| Location | 3550 N Interstate Ave, Portland, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255335295 | NPI | - | NPPES |
| ANP0067 | Other | WORKERS COMPENSATION | |
| 292510 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WG0600X | Registered Nurse - Gerontology | 091006966NI (Oregon) | Primary |
| Entity Name | Kaiser Foundation Health Plan Of The Northwest |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040130000799 |
| Mailing Address | Practice Location Address |
|---|---|
| Brenda R Annotti, FNP 3550 N Interstate Ave, Portland, OR 97227-1196 Ph: (503) 331-6440 | Brenda R Annotti, FNP 3550 N Interstate Ave, Portland, OR 97227 Ph: (503) 331-6440 |
Nanis Gilmore, RN, CDE Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 541 Ne 20th Ave, Suite 210, Portland, OR 97232 Phone: 503-233-6940 Fax: 503-236-2676 | |
Julie Liddicoat, CHN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 426 Sw Stark St, 3rd Floor, Portland, OR 97204 Phone: 503-988-3417 Fax: 503-988-3419 | |
Valeriy Igumnov, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 847 Ne 19th Ave, Suite 100, Portland, OR 97232 Phone: 503-238-0769 Fax: 503-552-6208 | |
John Saklofsky, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 3131 N Vancouver Ave, Portland, OR 97227 Phone: 503-528-5521 | |
Misrak Ayele, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 950 Sw 21st Ave Apt 1014, Portland, OR 97205 Phone: 503-449-3925 | |
Bonnie Kay Schonbachler, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2330 Ne Siskiyou St, Portland, OR 97212 Phone: 503-528-0757 | |
Mrs. Samantha Lancaster, RN-BC Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 10123 Se Market St, Portland, OR 97216 Phone: 503-257-2500 |