Individual provider · Type 1 NPI
Kathryn Ann Hanavan, RN MSN ANP
Adult Health Nurse Practitioner · Portland, OR
NPI number
1811035777
Active
Practice location
3181 SW Sam Jackson Park Rd, OP05DC
Portland, OR 97239-3011
Fax (503) 494-4781
Mailing address
14319 Orchard Springs Rd
Lake Oswego, OR 97035-6541
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 079044074N3 ANP-PP (OR) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1811035777
Kathryn Ann Hanavan, RN MSN ANP's National Provider Identifier is 1811035777, issued on Feb 2, 2007. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Portland, OR. The record was last updated on Jul 8, 2007.