Individual
MR. JAMES EMMETT HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
308 E. YOUNG ST., ELMA, WA 98541
(360) 482-2674
Mailing address
PO BOX 477, ELMA, WA 98541-0477
(360) 482-2674
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
RN00134823
WA
Other
Enumeration date
05/28/2010
Last updated
05/28/2010
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