Hanson, Nicholas

Hanson, Nicholas is an individual health care provider with primary practice located at 2925 Ryan Dr Se , Salem OR 97301-9687. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Hanson, Nicholas can be contacted via phone (503) 399-1262.

Contact Information

Primary practice address
2925 Ryan Dr Se Salem OR 97301-9687
Phone: (503) 399-1262
Fax: (503) 485-3738
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD174523 Oregon
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X A98416 California
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X MD174523 Oregon

Profile Details

NPI number 1356568661
LBN Legal business name Hanson, Nicholas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2007
Last updated Nov 21st, 2023 - about last year

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 1356568661 NPPES
California MEDICAID 1356568661
California Other 00A984160
California MEDICAID 500698850

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