Individual
BRIAN HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
140 S HOLLY ST, MEDFORD, OR 97501-3113
(503) 330-6147
Mailing address
140 S HOLLY ST, MEDFORD, OR 97501-3113
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OR
Other
Enumeration date
05/17/2024
Last updated
07/23/2026
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