Individual
MS. JESSIE ROBERTA HANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,RD,LD,CD,CDCES
Contact information
Practice address
1700 NE 102ND AVE, PORTLAND, OR 97220-3804
(503) 250-4326
(971) 229-6709
Mailing address
1700 NE 102ND AVE, PORTLAND, OR 97220-3804
(503) 250-4326
(971) 229-6709
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
461
OR
Other
Enumeration date
05/22/2008
Last updated
08/02/2023
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