Provider Demographics
NPI:1790975662
Name:HANSON, SARAH REBECCA
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:REBECCA
Last Name:HANSON
Suffix:
Gender:F
Credentials:
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 5601
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22205-0101
Mailing Address - Country:US
Mailing Address - Phone:202-372-4100
Mailing Address - Fax:
Practice Address - Street 1:2100 2ND ST SW RM B732
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20590-0001
Practice Address - Country:US
Practice Address - Phone:202-372-4100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-27
Last Update Date:2007-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other