Individual
HANNAH RAE KIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
9205 SW BARNES RD, PORTLAND, OR 97225-6603
(503) 216-2621
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
PG226169
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/09/2022
Last updated
07/23/2025
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