Individual
PAMELA HANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1929 NW RIMROCK RD, BEND, OR 97701-1024
(541) 322-0990
Mailing address
1929 NW RIMROCK RD, BEND, OR 97701-1024
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12123
OR
Other
Enumeration date
09/02/2009
Last updated
09/02/2009
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