| Doctor Name: | CARL ROBERT HANSEN |
| NPI Number: | 1881619922 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | THERAPIST |
| License Number: | 1919PT |
| Business Practice Address: | 101 S State St Suite 200g Lake Oswego, OR - 970343900 |
| Business Phone Number: | 5036363028 |
| Business Fax Number: | 5036361837 |
| Mailing Address: | 2345 Campbell St, BAKER CITY |
| State: | OR |
| Postal Code: | 978142333 |
| Phone Number: | 4064713274 |
| Fax Number: | |
| NPI Enumeration Date: | 07/12/2006 |
| NPI Last Update Date: | 11/13/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 1919PT |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MT |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |