Individual
ZACKARY KANE HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
9631 269TH ST NW, STANWOOD, WA 98292-8071
(360) 629-1600
(360) 629-1644
Mailing address
1400 E KINCAID ST, ATTN: CREDENTIALING, MOUNT VERNON, WA 98274-4127
(360) 428-2500
(360) 428-6485
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA60901757
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2115264
—
WA
Enumeration date
11/14/2018
Last updated
10/27/2021
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