Individual
JODY HANNAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 BEATTY ST, MEDFORD, OR 97501-5811
(541) 659-4137
Mailing address
200 BEATTY ST, MEDFORD, OR 97501-5811
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/22/2011
Last updated
11/30/2022
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