Provider Demographics
NPI:1639635246
Name:PATERNO, HANA MARIJKE (ND)
Entity Type:Individual
Prefix:DR
First Name:HANA
Middle Name:MARIJKE
Last Name:PATERNO
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2305 SE 50TH AVE # 200
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97215-3853
Mailing Address - Country:US
Mailing Address - Phone:707-206-1959
Mailing Address - Fax:888-977-2920
Practice Address - Street 1:2305 SE 50TH AVE # 200
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97215-3853
Practice Address - Country:US
Practice Address - Phone:503-478-8748
Practice Address - Fax:888-977-2920
Is Sole Proprietor?:No
Enumeration Date:2019-02-19
Last Update Date:2024-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
175F00000X
OR4232175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath