Hanson, Kimberly S
Hanson, Kimberly S is an individual health care provider with primary practice located at 3355 Riverbend Dr Suite 500, Springfield OR 97477-8800. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Hanson, Kimberly S can be contacted via phone (541) 868-9500.Contact Information
Primary practice address
3355 Riverbend Dr Suite 500
Springfield OR 97477-8800
Phone: (541) 868-9500
Fax: (541) 685-5920
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 200450044NP FNP | Oregon |
Profile Details
| NPI number | 1265451561 |
|---|---|
| LBN Legal business name | Hanson, Kimberly S |
| Credentials | Adult Nurse Practitioner (ANP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 18th, 2006 |
| Last updated | Dec 9th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265451561 | NPPES |
| Oregon | MEDICAID | 275444 |
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