Individual
MELISSA HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3060 SE STARK ST, PORTLAND, OR 97214-3053
(503) 535-4700
Mailing address
3060 SE STARK ST, PORTLAND, OR 97214-3053
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1068149
OR
Other
Enumeration date
05/18/2013
Last updated
05/18/2013
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