Individual
JEAN HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.A.
Contact information
Practice address
6601NE 78TH COURT SUITE, SUITE A3, PORTLAND, OR 97218
(503) 252-3949
Mailing address
6601NE 78TH COURT SUITE, SUITE A3, PORTLAND, OR 97218
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/20/2016
Last updated
10/20/2016
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