Individual provider · Type 1 NPI

Ian Thomas McAnnis-Entenman

Mental Health Counselor · Milwaukie, OR

NPI number 1225964786 Active

Practice location

2808 SE Balfour St
Milwaukie, OR 97222-6426

Fax (503) 659-5182

Mailing address

3587 Heathrow Way
Medford, OR 97504-4004

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1225964786

Ian Thomas McAnnis-Entenman's National Provider Identifier is 1225964786, issued on Jun 22, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Milwaukie, OR. The record was last updated on Jun 22, 2026.