Individual
MRS. JESSICA TONI HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3180 CENTER ST NE, SALEM, OR 97301-4532
(503) 588-5355
Mailing address
5045 LONE OAK RD SE, SALEM, OR 97306-1818
(503) 999-2902
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
200841249RN
OR
Other
Enumeration date
08/14/2008
Last updated
04/07/2014
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