Individual
HANSON ELLIS DAVENPORT KRIEGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSWA, MSW
Contact information
Practice address
2951 NW DIVISION ST STE 165, GRESHAM, OR 97030-5295
(971) 220-2496
Mailing address
2951 NW DIVISION ST STE 165, GRESHAM, OR 97030-5295
(971) 220-2496
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
A14435
OR
Other
Enumeration date
10/10/2023
Last updated
10/31/2023
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