Healthcare Provider Details

I. General information

NPI: 1629599444
Provider Name (Legal Business Name): HANNAH KATHERINE MCCANN LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HANNAH KATHERINE HOFFARTH

II. Dates (important events)

Enumeration Date: 07/01/2017
Last Update Date: 09/25/2025
Certification Date: 09/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1151 N ADAIR ST
CORNELIUS OR
97113-8900
US

IV. Provider business mailing address

PO BOX 6149
ALOHA OR
97007-0149
US

V. Phone/Fax

Practice location:
  • Phone: 503-359-5564
  • Fax: 503-357-4371
Mailing address:
  • Phone: 503-352-8642
  • Fax: 503-352-8658

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberL8511
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: