Whalio Doctors

NPI 1922005719

Gary Hansen, MD

Practitioner Diagnostic Radiology Physician Grants Pass, OR

Practice location

Address
500 SW Ramsey Ave, Grants Pass, OR 97527-5554
Phone
(541) 471-4485
Mailing address
PO Box 1750, Grants Pass, OR 97528-0148

Registered specialties

Diagnostic Radiology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence MD21162 (OR)

Registry record

NPI
1922005719
Entity type
Individual
Sex (as registered)
Male
NPI issued
7 Jul 2005
Record last updated
4 Oct 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.