Individual
MS. KRISTINE RUTH HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC II
Contact information
Practice address
1325 N HOLLADAY DR, SEASIDE, OR 97138-7131
(503) 738-7700
Mailing address
PO BOX 901, 641 S. LINCOLN, SEASIDE, OR 97138-0901
(503) 739-2788
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
070660
OR
Other
Enumeration date
11/05/2007
Last updated
11/05/2007
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