Individual
MS. KATHRYN ANN HANAVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN MSN ANP
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, OP05DC, PORTLAND, OR 97239-3011
(503) 494-8311
(503) 494-4781
Mailing address
14319 ORCHARD SPRINGS RD, LAKE OSWEGO, OR 97035-6541
(503) 699-7730
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
079044074N3 ANP-PP
OR
Other
Enumeration date
02/02/2007
Last updated
07/08/2007
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