Individual
LINDA HANOVER-URBAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
1500 NW BETHANY BLVD, SUITE 240, BEAVERTON, OR 97006-5208
(503) 644-7300
(503) 747-7851
Mailing address
1500 NW BETHANY BLVD, SUITE 240, BEAVERTON, OR 97006-5208
(503) 644-7300
(503) 747-7851
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
96-04-94
OR
Other
Enumeration date
05/01/2013
Last updated
05/01/2013
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