Individual
ELISABETH HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
497 SW CENTURY DR STE 120, BEND, OR 97702-1167
(541) 382-1118
Mailing address
497 SW CENTURY DR STE 120, BEND, OR 97702-1167
(541) 382-1118
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6166
OR
Other
Enumeration date
09/22/2021
Last updated
09/22/2021
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