Individual
HANNAH ERNST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, OTC
Contact information
Practice address
14921 SW MILLIKAN WAY APT 937, BEAVERTON, OR 97003-5088
(440) 714-5563
Mailing address
14921 SW MILLIKAN WAY APT 937, BEAVERTON, OR 97003-5088
(440) 714-5563
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-AT-10191748
OR
Other
Enumeration date
10/28/2014
Last updated
05/13/2020
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