Individual
HEATHER LYNNE HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14195 SW MILLIKAN WAY, BEAVERTON, OR 97005-2307
(503) 238-0769
Mailing address
2420 NW QUIMBY ST APT 2, PORTLAND, OR 97210-2661
(503) 238-0769
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
09/07/2006
Last updated
06/27/2008
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