Individual
JOHN D HANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8 N STATE ST, SUITE 203, LAKE OSWEGO, OR 97034-3956
(503) 635-3483
(503) 699-0345
Mailing address
8 N STATE ST, SUITE 203, LAKE OSWEGO, OR 97034-3956
(503) 635-3483
(503) 699-0345
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
5050
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
085845
—
OR
Enumeration date
08/11/2006
Last updated
07/08/2007
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