Individual
DR. ELISABETH MARIE HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3800 SE 22ND AVE, PORTLAND, OR 97202-2918
(503) 797-3845
(877) 302-0312
Mailing address
3800 SE 22ND AVE, PORTLAND, OR 97202-2918
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
RPH-0017916
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
PH61054527
WA
Other
Enumeration date
07/10/2020
Last updated
03/26/2021
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