Individual
PAUL DANIEL HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4805 NE GLISAN ST, SUITE 6N60, PORTLAND, OR 97213-2933
(503) 281-0561
(503) 416-7377
Mailing address
541 NE 20TH AVE STE 225, PORTLAND, OR 97232-2895
(503) 963-2801
(503) 963-2825
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD19926
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1112226
—
WA
05
—
149972
—
OR
Enumeration date
08/19/2005
Last updated
11/06/2024
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