Individual
BROOKS DOUGLAS HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2911 SE VILLAGE LOPP, VANCOUVER, WA 98683
(360) 601-3687
Mailing address
3505 NW 129TH ST, VANCOUVER, WA 98685-2267
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA228046
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/06/2025
Last updated
12/18/2025
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