Individual
AMY HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
890 OAK ST SE, SALEM, OR 97301-3905
(503) 561-5200
Mailing address
PO BOX 13129, SALEM, OR 97309-1129
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
200940055RN
OR
363L00000X
Nurse Practitioner
Primary
201909240NP-PP
OR
Other
Enumeration date
09/18/2018
Last updated
08/22/2024
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