Individual
MICHELLE LYNN HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2230 SE YAMHILL ST, APT #3, PORTLAND, OR 97214-2859
(605) 261-7463
Mailing address
2230 SE YAMHILL ST, APT #3, PORTLAND, OR 97214-2859
(605) 261-7463
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
285564
OR
Other
Enumeration date
08/08/2011
Last updated
08/08/2011
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