Individual
OLE HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2605 STATE ST, SALEM, OR 97310-1346
(503) 373-1840
(503) 378-2378
Mailing address
2605 STATE ST, SALEM, OR 97310-1346
(503) 373-1840
(503) 378-2378
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
MD11961
OR
Other
Enumeration date
10/22/2009
Last updated
10/21/2010
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