Hanset, Charles Allen

Hanset, Charles Allen is an sole proprietor health care provider with primary practice located at 10564 Se Washington St , Portland OR 97216-2809. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Peer Specialist, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Residential Treatment Facilities / Substance Abuse Rehabilitation Facility is his primary health care specialty. Hanset, Charles Allen can be contacted via phone (503) 334-7620.

Contact Information

Primary practice address
10564 Se Washington St Portland OR 97216-2809
Phone: (503) 334-7620
Fax: (503) 228-9558
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X 175T00000X - PEER Oregon
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X 12-CRM-070 Oregon
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1912304734
LBN Legal business name Hanset, Charles Allen
Credentials CRM
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 21st, 2014
Last updated Oct 21st, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912304734 NPPES
Oregon Other 175T00000X : 175T00000X PEER SPECIALIST

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