Hankenson, Lori Gail

Hankenson, Lori Gail is an individual health care provider with primary practice located at 9555 Sw Barnes Rd Suite 270, Portland OR 97229. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Hankenson, Lori Gail can be contacted via phone (503) 297-1025.

Contact Information

Primary practice address
9555 Sw Barnes Rd Suite 270 Portland OR 97229
Phone: (503) 297-1025
Fax: (503) 297-1043
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD16290 Oregon

Profile Details

NPI number 1396703476
LBN Legal business name Hankenson, Lori Gail
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2006
Last updated Feb 24th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396703476 NPPES
Oregon Other B85008 PROVIDENCE HEALTH PLAN
Oregon MEDICAID 067053 PROVIDENCE HEALTH PLAN
Oregon Other 93112982997006A007 PROVIDENCE HEALTH PLAN
Oregon Other 021993006 PROVIDENCE HEALTH PLAN

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