Individual
DOUGLAS P HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD00002055
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1021102
—
WA
05
—
123328
—
OR
01
—
410021676
RAIL ROAD MEDICARE
WA
01
—
410043367
RAIL ROAD MEDICARE
WA
01
—
410045029
RAIL ROAD MEDICARE
OR
01
—
410045030
RAIL ROAD MEDICARE
WA
Enumeration date
08/24/2006
Last updated
06/03/2026
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