RUSS HANSEN

PORTLAND, OR
NPI1558571661
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: OR  1011449)
Enumeration Date2007-05-23
Last Update Date2007-07-08
Business Address
-- RUSS HANSEN
4805 NE GLISAN ST
PORTLAND, OR 97213-2933
Phone number: 503-215-5289
Mailing Address
-- RUSS HANSEN
8534 SE 32ND AVE
MILWAUKIE, OR 97222-5504
Phone number:
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