Individual provider · Type 1 NPI
Gregg Eugene Hanson, CADC II
Addiction (Substance Use Disorder) Counselor · Portland, OR
NPI number
1154477487
Active
Practice location
2415 SE 43rd Ave, Suite 200
Portland, OR 97206-1600
Fax (503) 239-5953
Mailing address
PO Box 8459
Portland, OR 97207-8459
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
| Case Manager/Care Coordinator | 171M00000X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1154477487
Gregg Eugene Hanson, CADC II's National Provider Identifier is 1154477487, issued on Jan 27, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Portland, OR. The record was last updated on Nov 13, 2018.