Individual
MRS. ANGEL MARIE HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
315 OXFORD ST SE, SALEM, OR 97304
(503) 362-3723
Mailing address
1728 WESTHAVEN AVE NW, SALEM, OR 97304
(503) 949-8849
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
DH-1961
HI
124Q00000X
Dental Hygienist
Primary
H5299
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DH-1961
HAWAII BOARD OF DENTISTRY
HI
01
—
H5299
OREGON BOARD OF DENTISTRY
OR
Enumeration date
09/05/2017
Last updated
09/05/2017
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