Provider Demographics
NPI:1649951849
Name:HANA PATERNO ND LLC
Entity type:Organization
Organization Name:HANA PATERNO ND LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HANA
Authorized Official - Middle Name:MARIJKE
Authorized Official - Last Name:PATERNO
Authorized Official - Suffix:
Authorized Official - Credentials:ND
Authorized Official - Phone:707-206-1959
Mailing Address - Street 1:2305 SE 50TH AVE # 200
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97215-3853
Mailing Address - Country:US
Mailing Address - Phone:707-206-1959
Mailing Address - Fax:
Practice Address - Street 1:2305 SE 50TH AVE # 200
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97215-3853
Practice Address - Country:US
Practice Address - Phone:503-406-8747
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-31
Last Update Date:2024-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Single Specialty