Provider Demographics
NPI:1679189252
Name:RIKOON, HANNAH (ND)
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:
Last Name:RIKOON
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 1:3115 SE LINCOLN ST UNIT B
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97214-5677
Mailing Address - Country:US
Mailing Address - Phone:828-380-9730
Mailing Address - Fax:
Practice Address - Street 1:2330 NW FLANDERS ST SUITE 101
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97210-4858
Practice Address - Country:US
Practice Address - Phone:503-701-8766
Practice Address - Fax:503-241-5484
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-19
Last Update Date:2022-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
175F00000X
OR4353175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath