Individual
MARK HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
414 E WOODIN AVE, CHELAN, WA 98816-9648
(509) 293-6809
(509) 888-2231
Mailing address
PO BOX 2949, CHELAN, WA 98816-2949
(509) 293-6809
(509) 888-2231
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
00013982
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8290900
—
WA
Enumeration date
09/15/2006
Last updated
08/14/2015
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