Hanney, Mandy Leann

Hanney, Mandy Leann is an individual health care provider with primary practice located at 4855 Sw Western Ave , Beaverton OR 97005-3460. She recently has only one registered license in Dental Providers / Dental Assistant, which is considered as her primary health care specialty. Hanney, Mandy Leann can be contacted via phone (503) 626-4148.

Contact Information

Primary practice address
4855 Sw Western Ave Beaverton OR 97005-3460
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Assistant 126800000X

Profile Details

NPI number 1851540967
LBN Legal business name Hanney, Mandy Leann
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2008
Last updated Sep 12th, 2008 - 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 1851540967 NPPES
Oregon Other 126800000X DENTAL

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