Individual
MRS. DEANNA MARIE HANCOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6517 NE ALBERTA ST, PORTLAND, OR 97218-3121
(503) 282-6856
Mailing address
6517 NE ALBERTA ST, PORTLAND, OR 97218-3121
(503) 282-6856
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
094000386RN
OR
163WM0705X
Medical-Surgical Registered Nurse
094000386RN
OR
Other
Enumeration date
03/08/2012
Last updated
03/08/2012
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