Provider Demographics
NPI:1831086180
Name:HANSEN, NATALIE E
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:E
Last Name:HANSEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2274 NW PHILLIPS RD
Mailing Address - Street 2:
Mailing Address - City:GASTON
Mailing Address - State:OR
Mailing Address - Zip Code:97119-8229
Mailing Address - Country:US
Mailing Address - Phone:971-235-5118
Mailing Address - Fax:
Practice Address - Street 1:2274 NW PHILLIPS RD
Practice Address - Street 2:
Practice Address - City:GASTON
Practice Address - State:OR
Practice Address - Zip Code:97119-8229
Practice Address - Country:US
Practice Address - Phone:971-235-5118
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-19
Last Update Date:2025-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health