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Individual

DR. RICHARD HANSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
300 N MILL ST STE A, CRESWELL, OR 97426-9848
(541) 895-5300
Mailing address
P.O. BOX 1057, CRESWELL, OR 97426-1057

Taxonomy

Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
MD22235
OR

Other

Enumeration date
10/04/2006
Last updated
05/02/2012
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