Hansen, Paul Daniel

Hansen, Paul Daniel is an individual health care provider with primary practice located at 4805 Ne Glisan St Suite 6N60, Portland OR 97213-2933. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Hansen, Paul Daniel can be contacted via phone (503) 281-0561.

Contact Information

Primary practice address
4805 Ne Glisan St Suite 6N60 Portland OR 97213-2933
Phone: (503) 281-0561
Fax: (503) 416-7377
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD19926 Oregon

Profile Details

NPI number 1104818632
LBN Legal business name Hansen, Paul Daniel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2005
Last updated Dec 7th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1104818632 NPPES
Washington MEDICAID 1112226
Washington MEDICAID 149972

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