Individual
ANDREW HENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1715 SE 32ND PL, PORTLAND, OR 97214-5016
(503) 234-9591
Mailing address
3415 SE POWELL BLVD, PORTLAND, OR 97202-3371
(503) 234-9591
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/26/2024
Last updated
10/09/2024
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