Individual
STEPHEN J HANNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
833 SW 11TH AVE STE 300, PORTLAND, OR 97205-2117
(503) 224-7815
(503) 222-0029
Mailing address
888 FAIRWAY RD, LAKE OSWEGO, OR 97034-2814
(503) 224-7815
(503) 222-0029
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D6233
OR
Other
Enumeration date
10/19/2006
Last updated
07/08/2007
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