MARK WILLIAM HANSEN

PORTLAND, OR
NPI1679119085
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2019-11-20
Last Update Date2019-11-20
Business Address
MARK WILLIAM HANSEN
2600 SE BELMONT ST
PORTLAND, OR 97214-2916
Phone number: 503-239-5738
Mailing Address
MARK WILLIAM HANSEN
2600 SE BELMONT ST
PORTLAND, OR 97214-2916
Phone number: 503-239-5738
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