NPI 1609439983

Hannah Mickelson, PA

Practitioner Physician Assistant Sherwood, OR

Practice location

Address: 16770 SW Edy Rd STE 102, Sherwood, OR 97140-9679
Phone: (503) 216-9600
Mailing address: PO Box 3158, Portland, OR 97208-3158

Registered specialties (2)

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA214103 (OR)

Other Physician Assistant providers in Oregon →

Medical Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence 4651 (WI)

Registry record

NPI: 1609439983
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Apr 2019
Record last updated: 20 Apr 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.