Hanson, Nicholas
Hanson, Nicholas is an individual health care provider with primary practice located at 2925 Ryan Dr Se , Salem OR 97301-9687. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Hanson, Nicholas can be contacted via phone (503) 399-1262.Contact Information
Primary practice address
2925 Ryan Dr Se
Salem OR 97301-9687
Phone: (503) 399-1262
Fax: (503) 485-3738
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | MD174523 | Oregon |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | A98416 | California |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | MD174523 | Oregon |
Profile Details
| NPI number | 1356568661 |
|---|---|
| LBN Legal business name | Hanson, Nicholas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 19th, 2007 |
| Last updated | Nov 21st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356568661 | NPPES |
| California | MEDICAID | 1356568661 | |
| California | Other | 00A984160 | |
| California | MEDICAID | 500698850 |
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