Provider Demographics
NPI:1548351141
Name:HAHN, JOHN EARL (DPM ND)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:EARL
Last Name:HAHN
Suffix:
Gender:M
Credentials:DPM ND
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Mailing Address - Street 1:9370 SW GREENBURG RD
Mailing Address - Street 2:SUITE #102
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97223-5442
Mailing Address - Country:US
Mailing Address - Phone:503-245-2417
Mailing Address - Fax:503-245-7013
Practice Address - Street 1:9370 SW GREENBURG RD
Practice Address - Street 2:SUITE #102
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97223-5442
Practice Address - Country:US
Practice Address - Phone:503-245-2417
Practice Address - Fax:503-245-7013
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-27
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ORDP00015213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery