Organization
SAM HASSAN, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAM HASSAN MD (PRESIDENT)
(360) 852-2158
Entity
Organization
Contact information
Practice address
14614 NW SEWARD RD, VANCOUVER, WA 98685-1519
(360) 852-2158
Mailing address
14614 NW SEWARD RD, VANCOUVER, WA 98685-1519
(360) 852-2158
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD20117
OR
Other
Enumeration date
10/10/2008
Last updated
10/10/2008
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