Hanlin, Marceea Genea

Hanlin, Marceea Genea is an individual health care provider with primary practice located at 19250 Sw 65Th Ave Medical Plaza #1, Suite 125, Tualatin OR 97062-7452. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Hanlin, Marceea Genea can be contacted via phone (503) 692-1670.

Contact Information

Primary practice address
19250 Sw 65Th Ave Medical Plaza #1, Suite 125 Tualatin OR 97062-7452
Phone: (503) 692-1670
Fax: (503) 692-1669
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X PT03467 Oregon

Profile Details

NPI number 1689967994
LBN Legal business name Hanlin, Marceea Genea
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2011
Last updated Jun 9th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689967994 NPPES
Oregon Other 03467 OREGON STATE LICENSE
Oregon MEDICAID PENDING OREGON STATE LICENSE

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