Individual provider · Type 1 NPI

Jodi Hanauska, PA-C

Surgical Physician Assistant · Springfield, OR

NPI number 1811997000 Active

Practice location

3355 Riverbend Dr, Suite 400
Springfield, OR 97477-8800

Call (541) 686-8353 Map

Fax (541) 681-3078

Other practice locations

  • 3377 Riverbend Dr Fl 5, Springfield, OR 97477-8803 · (541) 222-8400

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X00714 (OR)

Surgical Physician Assistant: Definition to come...

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About NPI 1811997000

Jodi Hanauska, PA-C's National Provider Identifier is 1811997000, issued on Jul 28, 2005. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Springfield, OR. The record was last updated on Nov 7, 2019.