Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | 1026268 | OR |
NPI | 1245305820 |
---|---|
Provider Name | Erica Hranicka |
First Address | Portland, OR 97206-5524 |
Second Address | Hillsboro, OR 97124-4904 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/11/2006 |
Last Update Date | 08/07/2007 |