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General NPI Number Information
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NPI Number | 1295892024
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Entity Type | Individual
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Provider Name | HANNAH S DODD PA-C
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Gender | Female
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Dates
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Enumeration Date | 01/02/2007
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Last Update Date | 07/24/2025
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Provider Practice Location Address
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Address Line | 2801 N GANTENBEIN AVE
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City | PORTLAND
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State | OR
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Zip | 97227-1674
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Country | US
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Telephone | 617-960-7070
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Fax |
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Provider Business Mailing Address
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Address Line | 101 SW MAIN ST STE 940
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City | PORTLAND
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State | OR
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Zip | 97204-3216
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Country | US
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Telephone | 617-960-7070
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 60968313
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License Number State | WA
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