Individual
DR. RICHARD THOMAS HANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
620 E MARKET ST, ABERDEEN, WA 98520-3436
(360) 532-0823
(360) 532-0910
Mailing address
620 E MARKET ST, ABERDEEN, WA 98520-3436
(360) 532-0823
(360) 532-0910
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00005430
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5771902
—
WA
Enumeration date
07/31/2006
Last updated
07/08/2007
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