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Individual

KEVIN APPLIN HANSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.P.T.

Contact information

Practice address
19255 SW 65TH AVE, SUITE 120, TUALATIN, OR 97062-7451
(503) 692-4934
(503) 691-9655
Mailing address
11481 SW HALL BLVD, SUITE 201, PORTLAND, OR 97223-8403
(800) 219-8835
(503) 639-9699

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5958
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0252263
WASHINGTON L & I
OR
05
5000608713
OR
01
P00805523
RR MEDICARE
OR
Enumeration date
07/14/2009
Last updated
03/03/2011
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