Individual
CLAIRE HANWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R192448
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115892900
—
MD
01
—
201907954NP-PP
OREGON LICENSURE
OR
Enumeration date
05/15/2015
Last updated
08/31/2020
Update your record
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