Individual
DAVID A. HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5580 NORDIC PL, FERNDALE, WA 98248-9138
(360) 384-1511
(360) 384-5758
Mailing address
709 W ORCHARD DR, SUITE 4, BELLINGHAM, WA 98225-1766
(360) 318-8800
(360) 318-1085
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ML20007743
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3976HA
REGENCE
WA
01
—
423898050
GROUP HEALTH
WA
05
—
8456972
—
WA
01
—
8941952
LABOR & INDUSTRIES (CV)
WA
01
—
P00476409
RAILROAD MEDICARE
WA
Enumeration date
05/18/2006
Last updated
08/31/2012
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