Provider Demographics
NPI:1649780693
Name:HANSON, ALAN ARNOLD (DC)
Entity type:Individual
Prefix:MR
First Name:ALAN
Middle Name:ARNOLD
Last Name:HANSON
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8350 W. GRANDRIDGE BLVD #100
Mailing Address - Street 2:
Mailing Address - City:KENNEWICK
Mailing Address - State:WA
Mailing Address - Zip Code:99336
Mailing Address - Country:US
Mailing Address - Phone:509-737-1400
Mailing Address - Fax:509-737-1406
Practice Address - Street 1:8350 W. GRANDRIDGE BLVD #100
Practice Address - Street 2:
Practice Address - City:KENNEWICK
Practice Address - State:WA
Practice Address - Zip Code:99336
Practice Address - Country:US
Practice Address - Phone:509-737-1400
Practice Address - Fax:509-737-1406
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-04
Last Update Date:2019-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDCHIA-1795111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor