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1487250312
LANCE J HANSEN
PORTLAND, OR
NPI
1487250312
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
253Z00000X In Home Supportive Care
(Licence: OR 15-2370)
Enumeration Date
2020-12-07
Last Update Date
2020-12-07
Business Address
LANCE J HANSEN
3620 SE POWELL BLVD STE 202
PORTLAND, OR 97202-1880
Phone number: 503-892-1189
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Mailing Address
LANCE J HANSEN
3620 SE POWELL BLVD STE 202
PORTLAND, OR 97202-1880
Phone number: 503-892-1189
Copy
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