Individual
HANNON WELCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1904 SE DIVISION ST, PORTLAND, OR 97202-1146
(503) 517-8663
Mailing address
905 SE 14TH AVE, PORTLAND, OR 97214-2569
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/06/2023
Last updated
04/24/2026
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