Provider Demographics
NPI:1841773405
Name:HANSON, CHRISTINE SCHWAGER (RDH)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:SCHWAGER
Last Name:HANSON
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:931 ZANNA LN
Mailing Address - Street 2:
Mailing Address - City:HOOD RIVER
Mailing Address - State:OR
Mailing Address - Zip Code:97031-9323
Mailing Address - Country:US
Mailing Address - Phone:206-909-2292
Mailing Address - Fax:
Practice Address - Street 1:931 ZANNA LN
Practice Address - Street 2:
Practice Address - City:HOOD RIVER
Practice Address - State:OR
Practice Address - Zip Code:97031-9323
Practice Address - Country:US
Practice Address - Phone:206-909-2292
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-10
Last Update Date:2018-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60398824124Q00000X
ORH6859124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist