Individual
DR. STEPHEN MICHAEL HANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6950 NE CAMPUS WAY, HILLSBORO, OR 97124-5611
(503) 952-2164
(503) 526-4418
Mailing address
6950 NE CAMPUS WAY, HILLSBORO, OR 97124-5611
(503) 952-2164
(503) 526-4418
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE8475
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DE8475
STATE LICENSE NUMBER
WA
Enumeration date
11/27/2006
Last updated
07/08/2007
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