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Individual

MS. HOLLY HANSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5825 NE RAY CIR, HILLSBORO, OR 97124-6436
(503) 614-1320
Mailing address
7320 SW BRISBAND ST, WILSONVILLE, OR 97070-6899
(908) 619-5192

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
014040
OR
235Z00000X
Speech-Language Pathologist
41YS00510800
NJ

Other

Enumeration date
08/03/2010
Last updated
04/03/2024
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