| Doctor Name: | DR. RICHARD HANSEN |
| NPI Number: | 1730275488 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | MD22235 |
| Business Practice Address: | 300 N Mill St Ste A Creswell, OR - 974269848 |
| Business Phone Number: | 5418955300 |
| Business Fax Number: | |
| Mailing Address: | P.o. Box 1057, CRESWELL |
| State: | OR |
| Postal Code: | 974261057 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 10/04/2006 |
| NPI Last Update Date: | 05/02/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207QA0505X |
| License Number: | MD22235 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Family Medicine |
| Taxonomy Specialization: | Adult Medicine |
| Taxonomy Definition: | |