Ian Jaymes Hansen

NPI #1386956688 in Salem, Oregon

Provider Information

NPI Number: 1386956688
Entity Type: Individual
Name: Ian Jaymes Hansen
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Enumeration Date: Jul 2, 2010
Last Updated: Jul 2, 2010

Practice Location

Address: 3000 MARKET ST NE STE 530
City: Salem
State: Oregon
ZIP Code: 97301-1835
Phone: (503) 390-5637

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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