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Individual

DR. HANS NOTENBOOM

Active
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Individual

DR. HANS NOTENBOOM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD21273
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
130262
OR
05
8249781
WA
01
A030
CHAMPUS
01
H08149
PROVIDENCE
05
XPY194123
CA
Enumeration date
05/25/2006
Last updated
12/03/2007
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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