Individual
MISS KATHERINE MICHELLE HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11615 SE FULLER RD, APT # 102, MILWAUKIE, OR 97222-1328
(971) 230-8706
Mailing address
11615 SE FULLER RD, APT # 102, MILWAUKIE, OR 97222-1328
(971) 230-8706
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/30/2015
Last updated
04/30/2015
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