Individual
ELIZABETH HANNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17020 SW UPPER BOONES FERRY RD STE 201, PORTLAND, OR 97224-7078
(503) 465-4707
(503) 210-1453
Mailing address
17020 SW UPPER BOONES FERRY RD STE 201, PORTLAND, OR 97224-7078
(503) 465-4707
(503) 210-1453
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
16782
OR
Other
Enumeration date
06/09/2020
Last updated
06/09/2020
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