Individual
ROBIN HANSETH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
4004 SW KELLY AVE, PORTLAND, OR 97239-4389
(503) 929-7191
Mailing address
4004 SW KELLY AVE, PORTLAND, OR 97239-4389
(503) 929-7191
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
C2308
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C2308
LPC
OR
Enumeration date
07/24/2007
Last updated
04/22/2009
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