Provider Demographics
NPI:1821591181
Name:HANNA, ERIC WARD
Entity type:Individual
Prefix:
First Name:ERIC
Middle Name:WARD
Last Name:HANNA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2666 MOUNT VIEW DR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75234-6240
Mailing Address - Country:US
Mailing Address - Phone:469-834-1805
Mailing Address - Fax:214-206-9160
Practice Address - Street 1:8995 SW MILEY RD STE 204
Practice Address - Street 2:
Practice Address - City:WILSONVILLE
Practice Address - State:OR
Practice Address - Zip Code:97070-5486
Practice Address - Country:US
Practice Address - Phone:503-694-8600
Practice Address - Fax:503-694-8618
Is Sole Proprietor?:No
Enumeration Date:2018-03-13
Last Update Date:2018-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnostic