Individual
JAMIE LORRAINE HANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.S, C.G
Contact information
Practice address
6926 NE FOURTH PLAIN BLVD, VANCOUVER, WA 98661-7369
(360) 993-3116
Mailing address
6926 NE FOURTH PLAIN BLVD, VANCOUVER, WA 98661-7369
(360) 993-3116
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
CG 60326347
WA
Other
Enumeration date
01/08/2015
Last updated
01/08/2015
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