Individual
KRISTINE KAE HANNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
530 1ST ST STE B, LAKE OSWEGO, OR 97034-3248
(503) 680-3958
Mailing address
530 1ST ST STE B, LAKE OSWEGO, OR 97034-3248
(503) 680-3958
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1961
OR
Other
Enumeration date
11/02/2010
Last updated
11/02/2010
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