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

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed
Case Manager/Care Coordinator 171M00000XNone listed

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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.