Individual provider · NPI-1

Jonathan M Hansel, DC MD

Naturopath · Gresham, OR

NPI number1760407530
StatusActive
Last updated in NPPESMay 22, 2008

Details

NPI
1760407530
Entity type
Individual (NPI-1)
Name
Jonathan M Hansel
Credential
DC MD
Sex
Male
Sole proprietor
No
Enumeration date
Jul 13, 2006
Last updated
May 22, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
175F00000X Naturopath0933ORYes
111N00000X Chiropractor273026OR

Practice location

23479 Se Stark St
Gresham, OR 97030-2962

Phone 503-667-9300 · Fax 503-667-4975

Mailing address

23479 Se Stark St
Gresham, OR 97030-2962

Phone 503-667-9300 · Fax 503-667-4975

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