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1093266405
JEAN HANSEN
PORTLAND, OR
NPI
1093266405
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2016-10-20
Last Update Date
2016-10-20
Business Address
-- JEAN HANSEN B.A.
6601NE 78TH COURT SUITE SUITE A3
PORTLAND, OR 97218
Phone number: 503-252-3949
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Mailing Address
-- JEAN HANSEN B.A.
6601NE 78TH COURT SUITE SUITE A3
PORTLAND, OR 97218
Phone number:
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