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1811035777
KATHRYN ANN HANAVAN
PORTLAND, OR
NPI
1811035777
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: OR 079044074N3 ANP-PP)
Enumeration Date
2007-02-02
Last Update Date
2007-07-08
Business Address
Ms. KATHRYN ANN HANAVAN RN MSN ANP
3181 SW SAM JACKSON PARK RD OP05DC
PORTLAND, OR 97239-3011
Phone number: 503-494-8311
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Mailing Address
Ms. KATHRYN ANN HANAVAN RN MSN ANP
14319 ORCHARD SPRINGS RD
LAKE OSWEGO, OR 97035-6541
Phone number: 503-699-7730
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