Individual
BRENDA HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
6040 SE BELMONT ST, PORTLAND, OR 97215-1974
(503) 231-7166
Mailing address
5835 SE KNIGHT ST, PORTLAND, OR 97206-6027
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
08/02/2018
Last updated
08/02/2018
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