Individual
JOCELYN HANSSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9115 SW OLESON RD STE 100, PORTLAND, OR 97223-6876
(971) 236-0915
Mailing address
4039 SE HOLGATE BLVD APT 15, PORTLAND, OR 97202-3169
(310) 490-6194
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
ABA-IN-10190361
OR
Other
Enumeration date
07/05/2018
Last updated
07/05/2018
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