| Doctor Name: | MS. KRISTINE RUTH HANSEN |
| NPI Number: | 1104006378 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CADC II |
| License Number: | 070660 |
| Business Practice Address: | 1325 N Holladay Dr Seaside, OR - 971387131 |
| Business Phone Number: | 5037387700 |
| Business Fax Number: | |
| Mailing Address: | Po Box 901, 641 S. Lincoln SEASIDE |
| State: | OR |
| Postal Code: | 971380901 |
| Phone Number: | 5037392788 |
| Fax Number: | |
| NPI Enumeration Date: | 11/05/2007 |
| NPI Last Update Date: | 11/05/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 070660 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OR |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |