Individual
MARY ELIZABETH HANEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8204 SE 9TH AVE, PORTLAND, OR 97202-6534
(503) 231-1759
Mailing address
8204 SE 9TH AVE, PORTLAND, OR 97202-6534
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3747
OR
Other
Enumeration date
03/27/2020
Last updated
03/27/2020
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