Provider Demographics
NPI:1609907229
Name:HANSON CHIROPRACTIC INC., P.S.
Entity Type:Organization
Organization Name:HANSON CHIROPRACTIC INC., P.S.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:P
Authorized Official - Last Name:HANSON
Authorized Official - Suffix:
Authorized Official - Credentials:DC, DACNB
Authorized Official - Phone:425-558-1266
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:425-558-9549
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:425-558-9549
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00003185111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAAB02625Medicare ID - Type Unspecified
WAU68675Medicare UPIN