Hansen, Eric Keith

Hansen, Eric Keith is an individual health care provider with primary practice located at 9205 Sw Barnes Rd , Portland OR 97225-6603. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Hansen, Eric Keith can be contacted via phone (503) 216-2195.

Contact Information

Primary practice address
9205 Sw Barnes Rd Portland OR 97225-6603
Fax: (503) 216-2196
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X MD27208 Oregon

Profile Details

NPI number 1144375148
LBN Legal business name Hansen, Eric Keith
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2007
Last updated Dec 5th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144375148 NPPES
Oregon MEDICAID 247554
Oregon MEDICAID 8473258

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