Individual provider · Type 1 NPI

Gregory Brent Hansen, MA

Mental Health Counselor · Portland, OR

NPI number 1063567048 Active

Practice location

3550 SE Woodward St
Portland, OR 97202-1552

Mailing address

4676 Commercial St SE Pmb 55
Salem, OR 97302-1902

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1063567048

Gregory Brent Hansen, MA's National Provider Identifier is 1063567048, issued on Jan 23, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Jul 8, 2007.