Individual
JEFFREY T. HANSPETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10030 SW 210TH ST, VASHON, WA 98070-6584
(206) 463-3671
(206) 463-3613
Mailing address
PO BOX 34703, SEATTLE, WA 98124-1703
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00043102
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13547
BC
FL
05
—
271956800
—
FL
01
—
ME92602
MEDICAL LICENSE
FL
Enumeration date
07/10/2006
Last updated
05/08/2024
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