Individual
MS. JAN C HANKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCCA FAAA
Contact information
Practice address
429 SE MARLIN AVE, STE A, WARRENTON, OR 97146-9649
(503) 861-3235
(503) 861-3235
Mailing address
429 SE MARLIN AVE, STE A, WARRENTON, OR 97146-9649
(503) 861-3235
(503) 861-3436
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
20434
OR
237700000X
Hearing Instrument Specialist
HASP584193
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018999
—
OR
Enumeration date
12/06/2005
Last updated
11/01/2018
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