Individual
CAMILLE LILLIAN HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-0111
(207) 662-7054
Mailing address
59 STATE ST APT 22, PORTLAND, ME 04101-3741
(860) 461-5496
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
3550
NH
363A00000X
Physician Assistant
Primary
PAN1973
ME
Other
Enumeration date
08/26/2019
Last updated
12/29/2025
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