Individual
ROSE HAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
10490 SW EASTRIDGE ST STE 110E, PORTLAND, OR 97225-5030
(503) 720-9637
Mailing address
10490 SW EASTRIDGE ST STE 110E, PORTLAND, OR 97225-5030
(503) 720-9637
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5875
OR
Other
Enumeration date
12/18/2017
Last updated
01/30/2025
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