Individual
DR. MATTHEW HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD # CDW-EM, PORTLAND, OR 97239-3011
(503) 494-1270
Mailing address
3181 SW SAM JACKSON PARK RD # CDW-EM, PORTLAND, OR 97239-3011
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD29390
OR
Other
Enumeration date
07/18/2007
Last updated
07/12/2012
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