Provider Demographics
NPI:1154632917
Name:CURTTRIGHT, ANNA D (OD)
Entity type:Individual
Prefix:DR
First Name:ANNA
Middle Name:D
Last Name:CURTTRIGHT
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:ANNIE
Other - Middle Name:
Other - Last Name:CURTTRIGHT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:OD
Mailing Address - Street 1:21866 NE LARKSPUR LN
Mailing Address - Street 2:
Mailing Address - City:FAIRVIEW
Mailing Address - State:OR
Mailing Address - Zip Code:97024-6785
Mailing Address - Country:US
Mailing Address - Phone:402-366-8402
Mailing Address - Fax:
Practice Address - Street 1:2474 SE BURNSIDE RD
Practice Address - Street 2:
Practice Address - City:GRESHAM
Practice Address - State:OR
Practice Address - Zip Code:97080-1247
Practice Address - Country:US
Practice Address - Phone:402-366-8402
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-27
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR3354ATI152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR500786789Medicaid