Hanley, Patrick L

Hanley, Patrick L is an individual health care provider with primary practice located at 10000 Se Main St Suite 327, Portland OR 97216-2448. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Hanley, Patrick L can be contacted via phone (503) 256-5866.

Contact Information

Primary practice address
10000 Se Main St Suite 327 Portland OR 97216-2448
Fax: (503) 254-0656
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X MD15344 Oregon

Profile Details

NPI number 1134198914
LBN Legal business name Hanley, Patrick L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2006
Last updated Mar 26th, 2009 - about 16 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 1134198914 NPPES
Oregon MEDICAID 152355

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