Heacock, Hannah

Heacock, Hannah is an sole proprietor health care provider with primary practice located at 10151 Sw Barbur Blvd Suite 200, Portland OR 97219-5931. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Mechanotherapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist is her primary health care specialty. Heacock, Hannah can be contacted via phone (503) 245-0454.

Contact Information

Primary practice address
10151 Sw Barbur Blvd Suite 200 Portland OR 97219-5931
Phone: (503) 245-0454
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Mechanotherapist 172M00000X 19485 Oregon
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 19485 Oregon

Profile Details

NPI number 1588066039
LBN Legal business name Heacock, Hannah
Credentials LMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 16th, 2014
Last updated Sep 16th, 2014 - about 12 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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