Individual
DR. JEFFREY JON HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2215 BROADWAY ST, VANCOUVER, WA 98663-3226
(360) 906-7156
Mailing address
2215 BROADWAY ST, VANCOUVER, WA 98663-3226
(360) 906-7156
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
36957
WA
Other
Enumeration date
11/06/2006
Last updated
07/08/2007
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