Individual
MISS TERESA MARIA HASENOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
14145 SW 105TH AVE, TIGARD, OR 97224-4808
(503) 639-1144
Mailing address
10932 SW DURHAM RD, APT 236, TIGARD, OR 97224-4847
(181) 523-8687
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1070523
OR
Other
Enumeration date
11/29/2007
Last updated
11/29/2007
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