GREGORY BRENT HANSEN

PORTLAND, OR
NPI1063567048
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2007-01-23
Last Update Date2007-07-08
Business Address
Mr. GREGORY BRENT HANSEN MA
3550 SE WOODWARD ST
PORTLAND, OR 97202-1552
Phone number: 503-813-7702
Mailing Address
Mr. GREGORY BRENT HANSEN MA
4676 COMMERCIAL ST SE PMB 55
SALEM, OR 97302-1902
Phone number: 503-881-4255