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Hannah K Shawo

Student in an Organized Health Care Education/Training Program in Portland, OR. Individual provider (NPI-1).

NPI number1609655331
StatusActive
Last updated in NPPESSep 22, 2023

Details

NPI
1609655331
Entity type
Individual (NPI-1)
Name
Hannah K Shawo
Sex
Female
Sole proprietor
No
Enumeration date
Sep 22, 2023
Certification date
Sep 22, 2023
Last updated
Sep 22, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

4805 Ne Glisan St Unit 5l6e
Portland, OR 97213-2933

Phone 503-215-6199

Mailing address

4805 Ne Glisan St Unit 5l6e
Portland, OR 97213-2933

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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