Individual
JOSH HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
372 S BROADWAY ST, ESTACADA, OR 97023-7000
(503) 630-5314
Mailing address
1480 NE VILLAGE ST, FAIRVIEW, OR 97024-3827
(503) 489-1174
(503) 489-1650
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
06568
OR
Other
Enumeration date
08/27/2019
Last updated
08/27/2019
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