| Doctor Name: | MR. JAMES EMMETT HANSEN |
| NPI Number: | 1366761462 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | RN00134823 |
| Business Practice Address: | 308 E. Young St. Elma, WA - 98541 |
| Business Phone Number: | 3604822674 |
| Business Fax Number: | |
| Mailing Address: | Po Box 477, ELMA |
| State: | WA |
| Postal Code: | 985410477 |
| Phone Number: | 3604822674 |
| Fax Number: | |
| NPI Enumeration Date: | 05/28/2010 |
| NPI Last Update Date: | 05/28/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WA0400X |
| License Number: | RN00134823 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |