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Charles Allen Hanset SR., CRM
Addiction (Substance Use Disorder) Counselor in Portland, Oregon
NPI 1912304734

Charles Allen Hanset SR. is an Addiction (Substance Use Disorder) Counselor based in Portland, OR and is specialized in Addiction (Substance Use Disorder). Charles Allen Hanset SR. practices in Portland, OR and has the professional credentials of CRM. The NPI Number for Charles Allen Hanset SR. is 1912304734 and holds a License No. 175T00000X - PEER (Oregon).

The current practice location address for Charles Allen Hanset SR. is 10564 Se Washington St, Portland, OR and can be reached out via phone at 503-334-7620 and via fax at 503-228-9558.

Location: 10564 Se Washington St, Portland, OR, 97216-2809
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Provider Profile Details
NPI Number
1912304734
Provider Name
Charles Allen Hanset SR.
Credential
CRM
Provider Entity Type
Individual
Gender
Male
Address
10564 Se Washington St, Portland, OR, 97216-2809
Phone Number
503-334-7620
Fax Number
503-228-9558
Provider Enumeration Date
11/21/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
175T00000X 01 OR : 175T00000X PEER SPECIALIST
institution
Provider Business Practice Location Address Details
Address
10564 Se Washington St
City
State
Zip
97216-2809
Phone Number
503-334-7620
Fax Number
503-228-9558
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Provider Business Mailing Address Details
Address
10564 Se Washington St
City
State
Zip
97216-2809
Phone Number
503-334-7620
Fax Number
503-228-9558
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
12-CRM-070 (Oregon)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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Provider's Taxonomy Details 3
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
License No.
175T00000X - PEER (Oregon)
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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