Hansen, Bret R.

Hansen, Bret R. is an individual health care provider with primary practice located at 2801 Nw Mercy Dr Suite 330, Roseburg OR 97471-2348. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Hansen, Bret R. can be contacted via phone (541) 677-3600.

Contact Information

Primary practice address
2801 Nw Mercy Dr Suite 330 Roseburg OR 97471-2348
Phone: (541) 677-3600
Fax: (541) 677-3601
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD23507 Oregon

Profile Details

NPI number 1164406211
LBN Legal business name Hansen, Bret R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 2nd, 2005
Last updated Dec 28th, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164406211 NPPES
Oregon MEDICAID 286867

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