Individual
DR. GARY HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 SW RAMSEY AVE, GRANTS PASS, OR 97527-5554
(541) 471-4485
Mailing address
PO BOX 1750, GRANTS PASS, OR 97528-0148
(541) 471-4485
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD21162
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
151302
—
OR
Enumeration date
07/07/2005
Last updated
10/04/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us