IndividualActive
Jermiah Hansen
NPI 1447733092 · Mental Health Counselor · North Bend, OR
Provider details
- NPI number
- 1447733092
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
1592 Monroe St
North Bend, OR 97459-3657
Phone: (541) 756-2048
Fax: (541) 756-2058
Approximate (ZIP-level) locationGet directions
Mailing address
3587 Heathrow Way
Medford, OR 97504-4004
Registry dates
- Enumerated
- 2018-09-10
- Last updated
- 2018-09-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.