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Individual

DR. TODD HANSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
2270 NW TROOST ST, ROSEBURG, OR 97470-6006
(541) 464-0808
(541) 464-0809
Mailing address
2270 NW TROOST ST, ROSEBURG, OR 97470-6006
(541) 464-0808
(541) 464-0809

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3045
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
931245409
TAX ID
OR
Enumeration date
06/08/2006
Last updated
07/08/2007
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