Individual
CHARLES FLOYD HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
QMHA
Contact information
Practice address
7759 SE 72ND AVE, PORTLAND, OR 97206-7921
(503) 788-1500
Mailing address
6238 CASCADE HWY NE, SILVERTON, OR 97381-9701
(971) 382-8176
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/30/2024
Last updated
07/30/2024
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