Individual
HANNAH ELIZABETH NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CHW
Contact information
Practice address
205 MAIN ST, AUMSVILLE, OR 97325-9018
(503) 749-4734
(503) 749-3745
Mailing address
PO BOX 139, AUMSVILLE, OR 97325-0139
(503) 749-4734
(503) 749-3745
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
THW000106615
OR
Other
Enumeration date
06/27/2022
Last updated
04/13/2023
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