Individual
BRET R. HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2801 NW MERCY DR, SUITE 330, ROSEBURG, OR 97471-2348
(541) 677-3600
(541) 677-3601
Mailing address
2801 NW MERCY DR STE 340, ROSEBURG, OR 97471-2348
(541) 677-4319
(541) 644-2294
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD23507
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
286867
—
OR
Enumeration date
12/02/2005
Last updated
12/28/2017
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