Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204D00000X | Neuromusculoskeletal Medicine (NMM) | DO164332 | OR |
NPI | 1528231636 |
---|---|
Provider Name | Dr. Hannah M Fine |
First Address | Eugene, OR 97440-1648 |
Second Address | Springfield, OR 97477-7127 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/04/2008 |
Last Update Date | 15/09/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
500661666 | (05) | OR |