Individual
DR. SHIRLEY MAY HANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP, PHD
Contact information
Practice address
7912 SW 35TH AVE, SUITE 6, PORTLAND, OR 97219-2427
(503) 452-8571
(503) 452-8571
Mailing address
8325 SW CARMEL CT, PORTLAND, OR 97223-6951
(503) 245-8099
(503) 452-8571
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
084051100N6 PMHNP-PP
OR
Other
Enumeration date
07/12/2006
Last updated
07/08/2007
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