Kenneth Hanson

NPI #1376086090 in Hines, Oregon

Provider Information

NPI Number: 1376086090
Entity Type: Individual
Name: Kenneth Hanson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Nov 29, 2016
Last Updated: Nov 29, 2016

Practice Location

Address: 120 S ROANOKE AVE
City: Hines
State: Oregon
ZIP Code: 97738-2576
Phone: (541) 573-8370

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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