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Individual

CLAIRE HANWAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1040 NW 22ND AVE, SUITE 520, PORTLAND, OR 97210-3026
(503) 413-7557
(503) 413-6547
Mailing address
1040 NW 22ND AVE, SUITE 520, PORTLAND, OR 97210-3026
(503) 413-7557
(503) 413-6547

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
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