Individual
BRIANNA RIDER HANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
11790 SW BARNES RD STE 330, PORTLAND, OR 97225-5935
(503) 228-4414
Mailing address
11790 SW BARNES RD STE 330, PORTLAND, OR 97225-5935
(503) 228-4414
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/21/2010
Last updated
06/17/2013
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