Ira Hausam

NPI #1114319241 in Hillsboro, Oregon

Provider Information

NPI Number: 1114319241
Entity Type: Individual
Name: Ira Hausam
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Enumeration Date: Feb 26, 2015
Last Updated: Feb 26, 2015

Practice Location

Address: 971 SW WALNUT ST
City: Hillsboro
State: Oregon
ZIP Code: 97123-5651
Phone: (503) 640-5297

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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