Individual
BYRON WILLIAM HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1230 7TH AVE, LONGVIEW, WA 98632-3166
(360) 575-4801
Mailing address
1028 KESSLER BLVD, LONGVIEW, WA 98632-2736
(360) 577-1333
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
OR MD17059
OR
207Q00000X
Family Medicine Physician
Primary
WA MD00017356
WA
Other
Enumeration date
09/05/2006
Last updated
07/08/2007
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