Hanson Ellis Davenport Kriegel, CSWA, MSW

NPI #1265213789 in Gresham, Oregon

Provider Information

NPI Number: 1265213789
Entity Type: Individual
Name: Hanson Ellis Davenport Kriegel, CSWA, MSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: CSWA, MSW
Enumeration Date: Oct 10, 2023
Last Updated: Oct 31, 2023

Practice Location

Address: 2951 NW DIVISION ST STE 165
City: Gresham
State: Oregon
ZIP Code: 97030-5295
Phone: (971) 220-2496

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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