| Doctor Name: | ANDREW DRURY HANSEN |
| NPI Number: | 1013030535 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA - C |
| License Number: | PA10004135 |
| Business Practice Address: | 705 Gage Blvd Suite 200 Richland, WA - 993529701 |
| Business Phone Number: | 5096282331 |
| Business Fax Number: | 5096280537 |
| Mailing Address: | 705 Gage Blvd, Suite 200 RICHLAND |
| State: | WA |
| Postal Code: | 993529701 |
| Phone Number: | 5096282331 |
| Fax Number: | 5096280537 |
| NPI Enumeration Date: | 04/09/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | PA10004135 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |