Organization Name: | CARL R HANSON |
NPI Number: | 1457605776 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CARL R HANSON (DR/OWNER) |
Mailing Address: | 2625 Queen Ave Se Albany |
State: | OR US |
Postal Code: | 97322 |
Phone Number: | 5419288266 |
Fax Number: | 5419288915 |
NPI Enumeration Date: | 11/08/2012 |
NPI Last Update Date: | 12/04/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 27-1645 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |