Park, Hannah

Park, Hannah is an sole proprietor health care provider with primary practice located at 215 Mobile Dr , Ashland OR 97520-9021. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Park, Hannah can be contacted via phone (541) 282-3603.

Contact Information

Primary practice address
215 Mobile Dr Ashland OR 97520-9021
Phone: (541) 282-3603
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 201240056RN Oregon

Profile Details

NPI number 1366716219
LBN Legal business name Park, Hannah
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 23rd, 2012
Last updated Feb 23rd, 2012 - about 12 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 1366716219 NPPES
Oregon MEDICAID GU401B6H

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