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Contact Information

JODI HANAUSKA, PA-C
3355 RIVERBEND DR
SUITE 400
SPRINGFIELD, OR97477-8800
 Phone: 541-686-8353
 Fax: 541-681-3078
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for JODI HANAUSKA · (Female)

NPI Number 1811997000
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 07/28/2005
Last updated 11/07/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • OR License # 00714
Hospital affiliation(s)
  • SACRED HEART MEDICAL CENTER - RIVERBEND - (Acute Care)
    3333 RIVERBEND DRIVE
    SPRINGFIELD, OR 97477
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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