Individual
CARL ROBERT HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
609 NE BAKER ST STE 140, MCMINNVILLE, OR 97128-4907
(503) 472-0848
(503) 472-1653
Mailing address
609 NE BAKER ST STE 140, MCMINNVILLE, OR 97128-4907
(503) 472-0848
(503) 472-1653
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
06212
OR
Other
Enumeration date
07/12/2006
Last updated
10/20/2020
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