Individual
DANA HASERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
738 NE DAVIS ST, PORTLAND, OR 97232-2931
(503) 542-4603
Mailing address
738 NE DAVIS ST, PORTLAND, OR 97232-2931
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104100000X
—
OR
Enumeration date
10/10/2022
Last updated
10/10/2022
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