Individual
HANNAH JAQUISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
7405 SE 84TH AVE, PORTLAND, OR 97266-5840
(503) 771-1645
Mailing address
PO BOX 8459, PORTLAND, OR 97207-8459
(503) 238-0769
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/02/2026
Last updated
02/02/2026
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