Hansen, Heidi J

Hansen, Heidi J is an individual health care provider with primary practice located at 4805 Ne Glisan St Ste 11N , Portland OR 97213-2933. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Oral Medicinist. Dental Providers / Oral Medicinist is her primary health care specialty. Hansen, Heidi J can be contacted via phone (503) 215-1676.

Contact Information

Primary practice address
4805 Ne Glisan St Ste 11N Portland OR 97213-2933
Phone: (503) 215-1676
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X D11216 Oregon
Dental Providers / Dentist 122300000X 055295 New York
Dental Providers / Oral Medicinist 125Q00000X 055295 New York
Dental Providers / Oral Medicinist 125Q00000X D11216 Oregon

Profile Details

NPI number 1063655967
LBN Legal business name Hansen, Heidi J
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 8th, 2009
Last updated Oct 23rd, 2023 - about 2 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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