Organization · Type 2 NPI
Mark T Hanson MD PLLC
Primary Care Clinic/Center · Chelan, WA
NPI number
1790290724
Active
Practice location
414 E Woodin Ave
Chelan, WA 98816-9648
Mailing address
PO Box 1774
Chelan, WA 98816-1774
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | MD00013982 (WA) |
Primary Care Clinic/Center: Definition to come...
4 other providers at this address
About NPI 1790290724
Mark T Hanson MD PLLC's National Provider Identifier is 1790290724, issued on Dec 13, 2017. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Chelan, WA. The record was last updated on Dec 13, 2017.