Provider Demographics
NPI:1609887330
Name:HANKINS, JANET M (RDS)
Entity Type:Individual
Prefix:MRS
First Name:JANET
Middle Name:M
Last Name:HANKINS
Suffix:
Gender:F
Credentials:RDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12944 SW SARA DR
Mailing Address - Street 2:
Mailing Address - City:GASTON
Mailing Address - State:OR
Mailing Address - Zip Code:97119-8580
Mailing Address - Country:US
Mailing Address - Phone:503-970-0995
Mailing Address - Fax:503-985-7869
Practice Address - Street 1:19075 NW TANASBOURNE DR
Practice Address - Street 2:SUITE 300
Practice Address - City:HILLSBORO
Practice Address - State:OR
Practice Address - Zip Code:97124-5860
Practice Address - Country:US
Practice Address - Phone:503-970-0995
Practice Address - Fax:503-985-7869
Is Sole Proprietor?:No
Enumeration Date:2006-08-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORH1194124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist