Individual provider · Type 1 NPI

Moniquka Hanson

Peer Specialist · Portland, OR

NPI number 1306686910 Active

Practice location

2040 SE Powell Blvd
Portland, OR 97202-2345

Call (503) 226-4060 Map

Mailing address

232 NW 6th Ave
Portland, OR 97209-3609

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000X24-CRM-3023 (OR)

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1306686910

Moniquka Hanson's National Provider Identifier is 1306686910, issued on May 30, 2024. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Portland, OR. The record was last updated on May 30, 2024.