Individual
MICHAEL HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3002 NE 127TH ST, SEATTLE, WA 98125
(206) 306-2494
(206) 306-9351
Mailing address
11300 ROOSEVELT WAY NE, SUITE 201, SEATTLE, WA 98125-6242
(206) 306-2494
(206) 306-9351
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3630
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
146277
WA L AND I PROVIDER NUMBER
WA
Enumeration date
02/06/2007
Last updated
08/31/2011
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