Individual
NATASHA HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5457 SW CANYON CT, PORTLAND, OR 97221-2401
(503) 303-7212
Mailing address
5457 SW CANYON CT, PORTLAND, OR 97221-2401
(503) 303-7212
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10204746
OREGON BARB RBAI
OR
01
—
RBT-19-108236
BACB
—
Enumeration date
02/26/2020
Last updated
02/26/2020
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