Hansen, Heather

Hansen, Heather is an individual health care provider with primary practice located at 18915 90Th Ave E , Puyallup WA 98375-6160. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Hansen, Heather can be contacted via phone (360) 485-3992.

Contact Information

Primary practice address
18915 90Th Ave E Puyallup WA 98375-6160
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X OT00002980 Washington

Profile Details

NPI number 1619958006
LBN Legal business name Hansen, Heather
Credentials OTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 11th, 2005
Last updated Jul 9th, 2007 - about 18 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 1619958006 NPPES
Washington MEDICAID 7683014

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