Individual provider · Type 1 NPI

Zackary Kane Hanson, PA-C

Medical Physician Assistant · Stanwood, WA

NPI number 1790254100 Active

Practice location

9631 269th St NW
Stanwood, WA 98292-8071

Call (360) 629-1600 Map

Fax (360) 629-1644

Mailing address

1400 E Kincaid St, Attn: Credentialing
Mount Vernon, WA 98274-4127

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA60901757 (WA)

Medical Physician Assistant: Definition to come...

14 other providers at this address

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About NPI 1790254100

Zackary Kane Hanson, PA-C's National Provider Identifier is 1790254100, issued on Nov 14, 2018. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Stanwood, WA. The record was last updated on Oct 27, 2021.