Individual
TAMMI HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14145 SW 105TH AVE, TIGARD, OR 97224-4808
(503) 639-1144
Mailing address
17557 SW LAWTON ST, BEAVERTON, OR 97003-7546
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
016214
OR
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
12/26/2017
Last updated
12/27/2021
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