Individual
BRIAN HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11605 SW 7TH ST, BEAVERTON, OR 97005-2955
(503) 330-6147
Mailing address
11605 SW 7TH ST, BEAVERTON, OR 97005-2955
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OR
Other
Enumeration date
05/17/2024
Last updated
05/17/2024
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