Provider Demographics
NPI:1477601011
Name:HANSON, DANIEL PATRICK (DC, DACNB)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:PATRICK
Last Name:HANSON
Suffix:
Gender:M
Credentials:DC, DACNB
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17530 NE UNION HILL RD
Mailing Address - Street 2:SUITE 270
Mailing Address - City:REDMOND
Mailing Address - State:WA
Mailing Address - Zip Code:98052-3387
Mailing Address - Country:US
Mailing Address - Phone:425-558-1266
Mailing Address - Fax:425-650-2187
Practice Address - Street 1:17530 NE UNION HILL RD
Practice Address - Street 2:SUITE 270
Practice Address - City:REDMOND
Practice Address - State:WA
Practice Address - Zip Code:98052-3387
Practice Address - Country:US
Practice Address - Phone:425-558-1266
Practice Address - Fax:425-650-2187
Is Sole Proprietor?:No
Enumeration Date:2007-01-08
Last Update Date:2013-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00003185111NN0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN0400XChiropractic ProvidersChiropractorNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAAB02625Medicare ID - Type Unspecified
WAU68675Medicare UPIN