Individual
ALANA ROSE HENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
801 PACIFIC AVE, TILLAMOOK, OR 97141-3926
(503) 842-3900
(503) 842-3901
Mailing address
801 PACIFIC AVE, TILLAMOOK, OR 97141-3926
(503) 842-3900
(503) 842-3901
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
111332
OR
Other
Enumeration date
06/27/2024
Last updated
06/27/2024
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