Individual
AMY HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9030 SE COOPER ST, PORTLAND, OR 97266-5541
(503) 916-6350
Mailing address
501 N DIXON ST, PORTLAND, OR 97227-1876
(503) 916-6350
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
106264
OR
Other
Enumeration date
06/04/2025
Last updated
06/04/2025
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