Individual
BETHANY HAUG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5932 NE GLISAN ST, PORTLAND, OR 97213-3754
(503) 498-8063
Mailing address
4914 NE ALBERTA ST, PORTLAND, OR 97218-2026
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178015302
IL
101YP2500X
Professional Counselor
Primary
C7018
OR
Other
Enumeration date
05/11/2020
Last updated
01/15/2026
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