Shirley May Hanson, PMHNP, PHD

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

084051100N6 PMHNP-PP Issued in OR

Practice address

7912 SW 35TH Ave
Suite 6
Portland, OR 97219-2427

Phone

(503) 452-8571

Fax

(503) 452-8571

NPI assigned

Jul 12, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1578588539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8325 SW CARMEL CT",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972236951",
            "telephone_number": "503-245-8099",
            "fax_number": "503-452-8571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7912 SW 35TH AVE",
            "address_2": "SUITE 6",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972192427",
            "telephone_number": "503-452-8571",
            "fax_number": "503-452-8571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSON",
        "first_name": "SHIRLEY",
        "middle_name": "MAY",
        "name_prefix": "Dr.",
        "credential": "PMHNP, PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "OR",
            "license": "084051100N6 PMHNP-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mathew Arin Hanson, RN
• Melissa Hanson, OTR/L
• Moniquka Hanson
• Patricia Erin Hanson, CNM
• Ronald Scott Hanson, CADCII
• Steven Alan Hanson, DC
• Susan Jean Hanson, MSW, LCSW
• Timothy Keith Hanson, M.D.
• W.G. Harmon Hanson, MSW
• Christina Hansson, MA, QMHP

• Clinical Child & Adolescent Psychologist in Portland, OR
• Providers in Portland, OR by specialty
• Clinical Child & Adolescent Psychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.