Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN0400X | Neurology | CH00003185 | WA |
NPI | 1477601011 |
---|---|
Provider Name | Dr. Daniel Patrick Hanson |
First Address | Redmond, WA 98052-3387 |
Second Address | Redmond, WA 98052-3387 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/01/2007 |
Last Update Date | 28/02/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U68675 | (02) | WA |