Individual
KATIE O'HANLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, CNM
Contact information
Practice address
3530 SE 88TH AVE, PORTLAND, OR 97266-2396
(503) 772-4335
(503) 772-4337
Mailing address
3530 SE 88TH AVE, PORTLAND, OR 97266-2396
(503) 772-4335
(503) 772-4337
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
202005237NP-PP
OR
367A00000X
Advanced Practice Midwife
202005237NP-PP
OR
Other
Enumeration date
12/31/2020
Last updated
11/13/2023
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