Healthcare Provider Details

I. General information

NPI: 1023906609
Provider Name (Legal Business Name): DAWN ELIZABETH HANSEN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/24/2025
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 W 8TH AVE STE 300
EUGENE OR
97401-2997
US

IV. Provider business mailing address

115 W 8TH AVE STE 300
EUGENE OR
97401-2997
US

V. Phone/Fax

Practice location:
  • Phone: 541-505-8168
  • Fax: 458-221-4020
Mailing address:
  • Phone: 541-505-8168
  • Fax: 458-221-4020

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberR10250
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: