Individual
DYLAN ANTHONY HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
530 NW 27TH ST, CORVALLIS, OR 97330-5223
(541) 766-6835
Mailing address
221 NW 6TH ST, CORVALLIS, OR 97330-4811
(503) 583-1618
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/29/2023
Last updated
06/29/2023
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