Individual
BRANDI HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
14355 SW ROCHESTER DR, BEAVERTON, OR 97008-4931
(503) 956-9045
Mailing address
14355 SW ROCHESTER DR, BEAVERTON, OR 97008-4931
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5218
OR
Other
Enumeration date
06/07/2010
Last updated
06/07/2010
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