Provider Demographics
NPI:1548907603
Name:HANSON, CHRISTY ANNE (OTR)
Entity type:Individual
Prefix:
First Name:CHRISTY
Middle Name:ANNE
Last Name:HANSON
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1260 NE PURCELL BLVD
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97701-5373
Mailing Address - Country:US
Mailing Address - Phone:206-551-8388
Mailing Address - Fax:
Practice Address - Street 1:590 NW 23RD ST
Practice Address - Street 2:
Practice Address - City:REDMOND
Practice Address - State:OR
Practice Address - Zip Code:97756-6969
Practice Address - Country:US
Practice Address - Phone:541-316-8497
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-18
Last Update Date:2022-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR466725225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist