Individual
MR. EVAN F HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
501 SE LIBERTY DR, GRANTS PASS, OR 97527-1423
(541) 515-1722
Mailing address
501 SE LIBERTY DR, GRANTS PASS, OR 97527-1423
(541) 515-1722
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
117052-3902
UT
106H00000X
Marriage & Family Therapist
Primary
T0689
OR
Other
Enumeration date
03/30/2010
Last updated
03/30/2010
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