Individual
KIMBERLY S HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
3355 RIVERBEND DR, SUITE 500, SPRINGFIELD, OR 97477-8800
(541) 868-9500
(541) 685-5920
Mailing address
3355 RIVERBEND DR, SUITE 500, SPRINGFIELD, OR 97477-8800
(541) 868-9500
(541) 685-5920
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
200450044NP FNP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
275444
—
OR
Enumeration date
07/18/2006
Last updated
12/09/2008
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