Individual
TOBIE J HANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
23220 MAPLE VALLEY BLACK DIAMOND RD SE STE 13, MAPLE VALLEY, WA 98038-8249
(425) 432-1449
Mailing address
23220 MAPLE VALLEY BLACK DIAMOND RD SE STE 13, MAPLE VALLEY, WA 98038-8249
(425) 432-1449
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00013825
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0205964
LABOR & INDUSTRIES
WA
01
—
1316194814
SURNAME CHANGE DUE TO MARRIAGE
WA
Enumeration date
08/26/2008
Last updated
11/12/2019
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