Individual
GREG DARIN HANVEY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2020 SE POWELL BLVD, PORTLAND, OR 97202-2345
(503) 233-6121
(503) 233-6126
Mailing address
2020 SE POWELL BLVD, PORTLAND, OR 97202-2345
(503) 233-6121
(503) 233-6126
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/14/2018
Last updated
02/14/2018
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