CHARLES DWIGHT HANNAH

PORTLAND, OR
NPI1679833586
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2012-05-24
Last Update Date2012-05-24
Business Address
-- CHARLES DWIGHT HANNAH
3034 NE MARTIN LUTHER KING JR BLVD
PORTLAND, OR 97212-3053
Phone number: 503-889-2500
Mailing Address
-- CHARLES DWIGHT HANNAH
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number: 503-238-0769