Individual
HEATHER L HANSEN-DISPENZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2965 NE CONNERS AVE STE 127, ST. CHARLES RHEUMATOLOGY, BEND, OR 97701-7753
(541) 706-7735
(541) 706-4806
Mailing address
2965 NE CONNERS AVE STE 127, ST. CHARLES RHEUMATOLOGY, BEND, OR 97701-7753
(541) 706-7735
(541) 706-4806
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
MD161426
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
17672066
—
NM
Enumeration date
05/18/2006
Last updated
04/16/2020
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