Hanson, Damon James
Hanson, Damon James is an individual health care provider with primary practice located at 880 Golf View Dr Suite 101, Medford OR 97504. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Hanson, Damon James can be contacted via phone (541) 779-3791.Contact Information
Primary practice address
880 Golf View Dr Suite 101
Medford OR 97504
Phone: (541) 779-3791
Fax: (541) 608-2138
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 3454ATI | Oregon |
Profile Details
| NPI number | 1396006045 |
|---|---|
| LBN Legal business name | Hanson, Damon James |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 30th, 2012 |
| Last updated | Jun 13th, 2025 - about last year |
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 | 1396006045 | NPPES |
| Oregon | MEDICAID | 500655627 |
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