Provider Demographics
NPI:1962825752
Name:OWENS, HANNAH LOUISE
Entity Type:Individual
Prefix:MISS
First Name:HANNAH
Middle Name:LOUISE
Last Name:OWENS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1920 NW AMBERGLEN PKWY STE 150
Mailing Address - Street 2:
Mailing Address - City:BEAVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97006-6977
Mailing Address - Country:US
Mailing Address - Phone:971-327-4356
Mailing Address - Fax:
Practice Address - Street 1:1920 NW AMBERGLEN PKWY STE 150
Practice Address - Street 2:
Practice Address - City:BEAVERTON
Practice Address - State:OR
Practice Address - Zip Code:97006-6977
Practice Address - Country:US
Practice Address - Phone:971-327-4356
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-01-29
Last Update Date:2014-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1807366247200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other