Individual
MRS. ANDREA JEAN HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2020 SE POWELL BLVD, PORTLAND, OR 97202-2345
(503) 236-8999
Mailing address
412 SE 2ND ST, TROUTDALE, OR 97060-2004
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/03/2013
Last updated
10/03/2013
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