Individual
DR. SEAN MICHAEL HANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2045 MADRONA AVE SE, SUITE #150, SALEM, OR 97302-1149
(503) 391-2848
(503) 391-0402
Mailing address
3887 ROGUE AVE S, SALEM, OR 97302-9518
(503) 391-2848
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D8850
OR
Other
Enumeration date
06/06/2007
Last updated
06/08/2016
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