Provider Demographics
NPI:1396387833
Name:MCDONALD, HANNAH CLAIRE (LMT)
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:CLAIRE
Last Name:MCDONALD
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:HANNAH
Other - Middle Name:CLAIRE
Other - Last Name:LALONE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:13004 NE 7TH AVE
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98685-2657
Mailing Address - Country:US
Mailing Address - Phone:360-635-8857
Mailing Address - Fax:
Practice Address - Street 1:1319 NE 134TH ST STE 103
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98685-2718
Practice Address - Country:US
Practice Address - Phone:360-574-3141
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-16
Last Update Date:2019-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA61012925225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist