Provider Demographics
NPI:1487636312
Name:HANSON, CLAIRE SCHWEIKER (DO)
Entity Type:Individual
Prefix:DR
First Name:CLAIRE
Middle Name:SCHWEIKER
Last Name:HANSON
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 34876
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98124-1876
Mailing Address - Country:US
Mailing Address - Phone:425-656-5412
Mailing Address - Fax:425-656-4096
Practice Address - Street 1:1205 N 10TH ST
Practice Address - Street 2:STE A
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98057-5577
Practice Address - Country:US
Practice Address - Phone:425-656-4211
Practice Address - Fax:425-656-4053
Is Sole Proprietor?:No
Enumeration Date:2005-11-16
Last Update Date:2014-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOP00001054207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA130730OtherLABOR & INDUSTRIES
WAD33709Medicare UPIN
WA8251019Medicaid
WAAB13908Medicare ID - Type Unspecified