Individual
MR. GREGG EUGENE HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC II
Contact information
Practice address
2415 SE 43RD AVE, SUITE 200, PORTLAND, OR 97206-1600
(503) 230-9654
(503) 239-5953
Mailing address
PO BOX 8459, PORTLAND, OR 97207-8459
(503) 238-0769
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
01/27/2007
Last updated
11/13/2018
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