Individual
MARK JOHN HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
0224 SW HAMILTON ST, SUITE 200, PORTLAND, OR 97239-6418
(971) 219-3695
Mailing address
0224 SW HAMILTON ST, SUITE 200, PORTLAND, OR 97239-6418
(971) 219-3695
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
MFC41327
CA
106H00000X
Marriage & Family Therapist
Primary
T0552
OR
Other
Enumeration date
06/27/2007
Last updated
07/07/2015
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