Individual
AMANDA MARY HANLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
5701 SW MULTNOMAH BLVD, PORTLAND, OR 97219-3195
(503) 246-1505
(888) 522-4571
Mailing address
5705 SW MAIN AVENUE, BEAVERTON, OR 97005
(860) 830-8139
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
266319
OR
Other
Enumeration date
12/01/2011
Last updated
12/01/2011
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