Doctor Name: | MS. HEATHER L HANSEN |
NPI Number: | 1336407618 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.M.P. |
License Number: | MA60190791 |
Business Practice Address: | 620 Kirkland Way Suite 105 Kirkland, WA - 980336021 |
Business Phone Number: | 4258221859 |
Business Fax Number: | 4258222920 |
Mailing Address: | 620 Kirkland Way, Suite 105 KIRKLAND |
State: | WA |
Postal Code: | 980336021 |
Phone Number: | 4258221859 |
Fax Number: | 4258222920 |
NPI Enumeration Date: | 04/24/2012 |
NPI Last Update Date: | 04/24/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | MA60190791 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |