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Individual

LAUREL ANN HALL HANSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARM.D

Contact information

Practice address
1200 NW 23RD AVE, PORTLAND, OR 97210-2906
(971) 404-4785
Mailing address
1200 NW 23RD AVE, PORTLAND, OR 97210-2906
(971) 404-4785

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
00070595
WA
183500000X
Pharmacist
Primary
0011112
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
0011112
OR

Other

Enumeration date
01/21/2013
Last updated
02/24/2016
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