Individual
EMILY WING-HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRM
Contact information
Practice address
6517 NE SANDY BLVD, PORTLAND, OR 97213-4569
(503) 793-0443
Mailing address
6517 NE SANDY BLVD, PORTLAND, OR 97213-4569
(503) 793-0443
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
24-CRM-2999
OR
Other
Enumeration date
06/12/2026
Last updated
06/12/2026
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