Individual
UEL DEAN HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6703 W RIO GRANDE AVE, ATTN CREDENTIALING, KENNEWICK, WA 99336-2623
(509) 460-5588
(509) 783-5438
Mailing address
6703 W RIO GRANDE AVE, ATTN CREDENTIALING, KENNEWICK, WA 99336-2623
(509) 460-5588
(509) 783-5438
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD60628502
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0357374
WA LABOR & INDUSTRIES
WA
05
—
2059991
—
WA
01
—
P01689259
RR MEDICARE
WA
Enumeration date
01/25/2007
Last updated
07/16/2019
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