Individual
HANNAH MARIE THIESEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
4401 SE CRYSTAL SPRINGS BLVD, PORTLAND, OR 97206-0939
(952) 240-2496
Mailing address
4401 SE CRYSTAL SPRINGS BLVD, PORTLAND, OR 97206-0939
(952) 240-2496
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
201243265RN
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
10041119
OR
Other
Enumeration date
02/12/2025
Last updated
03/19/2025
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