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1063567048
GREGORY BRENT HANSEN
PORTLAND, OR
NPI
1063567048
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2007-01-23
Last Update Date
2007-07-08
Business Address
Mr. GREGORY BRENT HANSEN MA
3550 SE WOODWARD ST
PORTLAND, OR 97202-1552
Phone number: 503-813-7702
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Mailing Address
Mr. GREGORY BRENT HANSEN MA
4676 COMMERCIAL ST SE PMB 55
SALEM, OR 97302-1902
Phone number: 503-881-4255
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