Individual
SARAH A HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19800 VILLAGE OFFICE CT STE 104, BEND, OR 97702-1813
(541) 306-3483
Mailing address
PO BOX 1432, BEND, OR 97709-1432
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
10184124
OR
Other
Enumeration date
06/06/2017
Last updated
06/06/2017
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