Individual
MARY PAULETTE HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNS
Contact information
Practice address
12406 SW 55TH PL, PORTLAND, OR 97219-7113
(253) 229-7391
Mailing address
12406 SW 55TH PL, PORTLAND, OR 97219-7113
(253) 229-7391
Taxonomy
Speciality
Code
Description
License number
State
364SC0200X
Critical Care Medicine Clinical Nurse Specialist
Primary
201402489CNS
OR
Other
Enumeration date
11/09/2017
Last updated
06/16/2018
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