Hansen, Gary
Hansen, Gary is an individual health care provider with primary practice located at 500 Sw Ramsey Ave , Grants Pass OR 97527-5554. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Hansen, Gary can be contacted via phone (541) 471-4485.Contact Information
Primary practice address
500 Sw Ramsey Ave
Grants Pass OR 97527-5554
Phone: (541) 471-4485
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | MD21162 | Oregon |
Profile Details
| NPI number | 1922005719 |
|---|---|
| LBN Legal business name | Hansen, Gary |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 7th, 2005 |
| Last updated | Oct 4th, 2007 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922005719 | NPPES |
| Oregon | MEDICAID | 151302 |
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