Hansen, Scott S

Hansen, Scott S is an sole proprietor health care provider with primary practice located at 501 Ne Hood Ave Suite 333, Gresham OR 97030-7303. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Hansen, Scott S can be contacted via phone (503) 661-2600.

Contact Information

Primary practice address
501 Ne Hood Ave Suite 333 Gresham OR 97030-7303
Fax: (503) 661-2602
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 6438 Oregon

Profile Details

NPI number 1851455703
LBN Legal business name Hansen, Scott S
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 21st, 2006
Last updated Jul 8th, 2007 - about 17 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 1851455703 NPPES
Oregon MEDICAID 012026

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