Individual
DR. GWEN S HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD PLLC
Contact information
Practice address
1409 140TH PL NE, SUITE #106, BELLEVUE, WA 98007
(425) 614-1205
(425) 641-5796
Mailing address
1409 140TH PL NE, SUITE #106, BELLEVUE, WA 98007
(425) 614-1205
(425) 641-5796
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00041591
WA
Other
Enumeration date
08/02/2006
Last updated
07/08/2007
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