Individual
ROBERT HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
610 NW 11TH ST, HERMISTON, OR 97838-6601
(541) 667-3520
(541) 667-3519
Mailing address
PO BOX 1359, KLAMATH FALLS, OR 97601-0075
(541) 882-1540
(541) 882-2583
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD11001
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038989
—
OR
Enumeration date
06/28/2006
Last updated
11/02/2007
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