Individual
JONATHAN M HANSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC MD
Contact information
Practice address
23479 SE STARK ST, GRESHAM, OR 97030-2962
(503) 667-9300
(503) 667-4975
Mailing address
23479 SE STARK ST, GRESHAM, OR 97030-2962
(503) 667-9300
(503) 667-4975
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
273026
OR
175F00000X
Naturopath
Primary
0933
OR
Other
Enumeration date
07/13/2006
Last updated
05/22/2008
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