Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Annie Seapan Mack, MD

Individual provider Internal Medicine Physician · NPI 1932125184

Annie Seapan Mack, MD is an Internal Medicine in Portland, Oregon. Graduated from University of Texas Medical School at San Antonio in 2001, 25 years ago. Practices with Advanced Internal Medicine Group PC, a 7-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Oregon.

Years since qualifying
25
Trained at
University of Texas Medical School at San Antonio
Licensed in
OR
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

9555 SW Barnes Rd Ste 255
Portland, OR 97225-6654
Phone: (503) 908-1590
Fax: (503) 723-2862
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence MD27041 (OR)
Internal Medicine Physician Taxonomy 207R00000X · Licence MD27041 (OR)

Record details

NPI number1932125184
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 14, 2006
Last updated in NPPESApril 3, 2024
Certification dateMarch 1, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Also practisesPEDIATRIC MEDICINE
Medical schoolUNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Graduated 2001 (25 years in practice)
Group practice Advanced Internal Medicine Group Pc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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