Individual
NICHOLAS HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2925 RYAN DR SE, SALEM, OR 97301-9687
(503) 399-1262
(503) 485-3738
Mailing address
2925 RYAN DR SE, SALEM, OR 97301-9687
(503) 399-1262
(503) 485-3738
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
A98416
CA
2085R0202X
Diagnostic Radiology Physician
MD174523
OR
2085R0204X
Vascular & Interventional Radiology Physician
Primary
MD174523
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A984160
BS OF CA
CA
05
—
1356568661
—
CA
05
—
500698850
—
OR
Enumeration date
04/19/2007
Last updated
11/21/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us