Individual
CRAIG E HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
9670 SW BEAVERTON HILLSDALE HWY, BEAVERTON, OR 97005-3307
(503) 626-9494
(503) 646-8401
Mailing address
PO BOX 82819, PORTLAND, OR 97282-0819
(503) 233-5405
(503) 233-2696
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
764
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
164936
—
OR
Enumeration date
12/21/2006
Last updated
07/09/2007
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