Individual
HANNA A JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4225 NE TILLAMOOK ST, PORTLAND, OR 97213-1313
(503) 299-4754
(503) 299-4754
Mailing address
4225 NE TILLAMOOK ST, PORTLAND, OR 97213-1313
(503) 299-4754
(503) 299-4754
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L4522
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126370
—
OR
Enumeration date
04/02/2007
Last updated
11/18/2009
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