Individual
HANNAH MAPLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2738 NE BROADWAY ST, PORTLAND, OR 97232-1723
(503) 208-5035
Mailing address
4515 N MONTANA AVE, PORTLAND, OR 97217-3242
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/19/2025
Last updated
06/19/2025
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