Most Relevant Information
Provider Data
| NPI Number: | 1003290669 |
| Provider Name: | ANNA CULLOP |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | R3455 |
Most Important Dates
| Enumeration Date: | 07/14/2015 |
| Last Updated: | 07/14/2015 |
Provider Practice Location
819 SE MORRISON STREET, SUITE 233
PORTLAND
OR
97214
Practice Location Phone/Fax
| Phone: | 5035681499 |
| Fax: |
Provider Mailing Location
819 SE MORRISON STREET, SUITE 233
PORTLAND
OR
97214
Provider Mailing Phone/Fax
| Phone: | 5035681499 |
| Fax: |