Individual
JAMES A HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA C
Contact information
Practice address
77 WAINWRIGHT DR, WALLA WALLA, WA 99362
(509) 525-5200
Mailing address
PO BOX 1323, PASCO, WA 99301
(509) 547-2204
(509) 542-8836
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10003947
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8359267
—
WA
Enumeration date
08/31/2006
Last updated
07/08/2007
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