Provider Demographics
NPI:1659601151
Name:REED, HANNAH MARY (LMT)
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:MARY
Last Name:REED
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:HANNAH
Other - Middle Name:MARY
Other - Last Name:OLSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:888 NW HILL ST
Mailing Address - Street 2:SUITE 6
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97703-2766
Mailing Address - Country:US
Mailing Address - Phone:541-420-0644
Mailing Address - Fax:
Practice Address - Street 1:888 NW HILL ST
Practice Address - Street 2:SUITE 6
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97703-2766
Practice Address - Country:US
Practice Address - Phone:541-420-0644
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-05
Last Update Date:2015-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR11788172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker