Individual
AMY L HANLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
814 13TH ST, HOOD RIVER, OR 97031-1210
(541) 387-6138
(541) 387-6148
Mailing address
PO BOX 3390, PORTLAND, OR 97208-3390
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
201901728NP-PP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201901728NP-PP
OREGON STATE BOARD OF NURSING
OR
Enumeration date
03/01/2019
Last updated
03/11/2021
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