Individual
CALLYE GENEVIEVE HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1246 SW FALCON ST, PORTLAND, OR 97219-4341
(503) 421-8629
Mailing address
10785 NW 20TH DR, CORAL SPRINGS, FL 33071-4214
(954) 591-6000
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
17477
OR
Other
Enumeration date
05/12/2022
Last updated
05/12/2022
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