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Individual
ERIC THEODORE HANSEN
Active
Individual
ERIC THEODORE HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
MD00039438
WA
207X00000X
Orthopaedic Surgery Physician
MD218878
OR
207X00000X
Orthopaedic Surgery Physician
MD23765
ME
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
MD00039438
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8327751
—
WA
Enumeration date
02/20/2006
Last updated
10/28/2024
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