Individual
JONATHAN DOUGLAS HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
62 W 7TH AVE STE 450, SPOKANE, WA 99204-2321
(509) 455-8820
Mailing address
PO BOX 31001-4114, PASADENA, CA 91110-0001
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
MD.61126230
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/22/2013
Last updated
03/20/2026
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