Individual
HANNA GIETZEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
545 SE OAK ST STE F, HILLSBORO, OR 97123-4147
(971) 228-8855
Mailing address
545 SE OAK ST STE F, HILLSBORO, OR 97123-4147
(971) 228-8855
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA195530
OR
Other
Enumeration date
07/09/2018
Last updated
09/08/2020
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