Individual
DEVIN J. HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
605 N DEVINE RD STE B, VANCOUVER, WA 98661-6960
(360) 952-4457
(360) 828-7409
Mailing address
605 N DEVINE RD STE B, VANCOUVER, WA 98661-6960
(360) 952-4457
(360) 828-7409
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10005150
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8474561
—
WA
Enumeration date
02/13/2007
Last updated
05/02/2017
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