CHARLES ALLEN HANSET SR. (NPI# 1912304734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912304734 |
| Entity Type | Individual |
| Full Name | CHARLES ALLEN HANSET SR. |
| Credential | CRM |
| Practice Address |
10564 Se Washington St Portland OR 97216-2809 |
| Practice Telephone | 5033347620 |
| Practice Fax Number | 5032289558 |
| Mailing Telephone | 5033347620 |
| Mailing Fax Number | 5032289558 |
| Enumeration Date | 2014-11-21 |
| Last Update Date | 2015-10-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 12-CRM-070 | OR | Residential Treatment Facilities |
| N | 175T00000X | Peer Specialist | 175T00000X - PEE | OR | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | : 175T00000X PEER SPECIALIST | 175T00000X | 01 |
| Street Address |
10564 SE WASHINGTON ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97216-2809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639233893 | James A Jensen | Counselor | 10564 Se Washington St, Portland, OR 97216-2809 | 2006-12-21 |
| 1538767264 | Lloyd Lawrence Jones | Peer Specialist | 10564 Se Washington St, 10564 Se Washington St, Portland, OR 97216 | 2020-10-14 |
| 1063019412 | Daniel James Spotanski | Peer Specialist | 10564 Se Washington St, Portland, OR 97216-2809 | 2020-10-07 |
| 1467078360 | Lloyd David Kneeland Jr. | Counselor | 10564 Se Washington St, Portland, OR 97216-2809 | 2020-06-17 |
| 1407476609 | Lindsay Martinez | Counselor | 10564 Se Washington St, Portland, OR 97216-2809 | 2020-04-17 |
| 1588290902 | Carole Ruth Hinojosa | Peer Specialist | 10564 Se Washington St, Portland, OR 97216-2809 | 2020-03-17 |
| 1629601463 | Craig Dwayne Freeman | Peer Specialist | 10564 Se Washington St, Portland, OR 97216-2809 | 2020-02-20 |
| 1134761166 | Patricia Jane Hanset | Peer Specialist | 10564 Se Washington St, Portland, OR 97216-2809 | 2019-10-10 |
| 1710528344 | Stacey Diane Beebe | Peer Specialist | 10564 Se Washington St, Portland, OR 97216-2809 | 2019-10-04 |
| 1629628797 | Annette Rachel Britton | Counselor | 10564 Se Washington St, Portland, OR 97216-2809 | 2019-09-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316468341 | Accident Care Chiropractic and Massage of Salem | Clinic/Center | 2168 Lancaster Dr. Ne, Portland, OR 97216 | 2017-06-29 |
| 1528508520 | Damone Brown | Peer Specialist | 10209 Se Washington St, Suite D, Portland, OR 97216 | 2017-02-24 |
| 1861937237 | Malachai Investments LLC | Clinical Medical Laboratory | 10,000 Se Main St, Ste 360, Portland, OR 97216 | 2016-12-21 |
| 1881136836 | Krista Marie Darnell | Occupational Therapy Assistant | 1475, Se 100th Avenue, Portland, OR 97216 | 2016-11-08 |
| 1821456559 | Sean Kelly | Counselor | 10564 Se Washington Street, Portland, OR 97216 | 2016-02-09 |
| 1174908321 | Phil Bergland | Counselor | 11220 Se Stark St, Suite 6, Portland, OR 97216 | 2015-07-29 |
| 1134507346 | Beth Lopez | Massage Therapist | 5814 Se Stark Street, Portland, OR 97216 | 2015-05-08 |
| 1982081477 | Amelia C Hunt | Counselor | 10564 Se Washinton Street, Portland, OR 97216 | 2015-05-04 |
| 1073907978 | Karen Ta | Emergency Medicine | 10300 Se Main St, Portland, OR 97216 | 2015-03-27 |
| 1265823298 | Laura Catherine Anderson | Occupational Therapist | 1475 Se 100th Avenue, Portland, OR 97216 | 2015-02-12 |
| Find all providers in zip 97216 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| 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. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477002228 | Treehouse Nw Inc | Substance Abuse Rehabilitation Facility | 4713 N Albina Ave, Suite 301, Portland, OR 97217-2605 | 2016-09-21 |
| 1154785475 | Blvd Centers, Inc | Substance Abuse Rehabilitation Facility | 1316 Se 12th Ave, Portland, OR 97214-3604 | 2016-04-12 |
| 1104219211 | Allied Health Services | Substance Abuse Rehabilitation Facility | 808 Se Alder St, Portland, OR 97214-2213 | 2015-03-13 |
| 1700297074 | Pathfinders of Oregon | Substance Abuse Rehabilitation Facility | 7800 Sw Barbur Blvd, Portland, OR 97219-2823 | 2014-05-08 |
| 1194037283 | De Paul Treatment Centers | Substance Abuse Rehabilitation Facility | 1312 Sw Washington St., Portland, OR 97208 | 2010-07-06 |
| 1649412511 | Portland Detox | Substance Abuse Rehabilitation Facility | 11160 Sw Waverly Pl, Portland, OR 97225-4456 | 2009-03-24 |
| 1144432907 | Serenity House, Inc. | Substance Abuse Rehabilitation Facility | 30 Mellen St, Portland, ME 04101-2110 | 2007-05-04 |
| 1063548436 | Milestone Foundation Inc | Substance Abuse Rehabilitation Facility | 65 India St, Portland, ME 04101-4209 | 2007-02-27 |
| 1851428775 | Depaul Treatment Centers Inc. | Substance Abuse Rehabilitation Facility | 5052 Ne 42nd Ave, Portland, OR 97218-1550 | 2007-02-27 |
| 1114546645 | Nw Insituto Latino | Substance Abuse Rehabilitation Facility | 2054 N Vancouver Ave, Portland, OR 97227-1917 | 2020-04-14 |
| Find all providers in PORTLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.