Provider Demographics
NPI:1124998935
Name:POWELL, HANNA (WA)
Entity type:Individual
Prefix:
First Name:HANNA
Middle Name:
Last Name:POWELL
Suffix:
Gender:F
Credentials:WA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10423 RAINIER RIDGE BLVD E APT K303
Mailing Address - Street 2:
Mailing Address - City:PUYALLUP
Mailing Address - State:WA
Mailing Address - Zip Code:98374-8068
Mailing Address - Country:US
Mailing Address - Phone:206-670-8243
Mailing Address - Fax:
Practice Address - Street 1:10423 RAINIER RIDGE BLVD E APT K303
Practice Address - Street 2:
Practice Address - City:PUYALLUP
Practice Address - State:WA
Practice Address - Zip Code:98374-8068
Practice Address - Country:US
Practice Address - Phone:206-670-8243
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-11-06
Last Update Date:2025-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician