Individual
PAUL S HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
630 N BROADWAY ST, PO BOX 929, ESTACADA, OR 97023-0929
(503) 630-4218
Mailing address
PO BOX 929, ESTACADA, OR 97023-0929
(503) 630-4218
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D6973
OR
Other
Enumeration date
06/12/2006
Last updated
10/10/2025
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