Provider Demographics
NPI:1922176486
Name:KARLIN, HANNA (DMD)
Entity Type:Individual
Prefix:DR
First Name:HANNA
Middle Name:
Last Name:KARLIN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4713 N LAGOON AVE
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97217-7644
Mailing Address - Country:US
Mailing Address - Phone:503-283-1433
Mailing Address - Fax:503-247-3250
Practice Address - Street 1:4713 N LAGOON AVE
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97217-7644
Practice Address - Country:US
Practice Address - Phone:503-283-1433
Practice Address - Fax:503-247-3250
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORD6728122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist