Individual provider · Type 1 NPI

Mark William Hansen

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1679119085 Active

Practice location

2600 SE Belmont St
Portland, OR 97214-2916

Call (503) 239-5738 Map

Fax (503) 963-9026

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1679119085

Mark William Hansen's National Provider Identifier is 1679119085, issued on Nov 20, 2019. 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 20, 2019.