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1518003896
HEATHER A HANNAM
PORTLAND, OR
NPI
1518003896
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: 0781)
Enumeration Date
2007-01-30
Last Update Date
2007-07-08
Business Address
-- HEATHER A HANNAM PT
9204 SE MITCHELL ST
PORTLAND, OR 97266
Phone number: 503-777-6746
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Mailing Address
-- HEATHER A HANNAM PT
9204 SE MITCHELL ST
PORTLAND, OR 97266
Phone number: 503-777-6746
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