Individual provider · Type 1 NPI
Mark Hanson
Community Health Clinic/Center · San Rafael, CA
NPI number
1902734858
Active
Practice location
207 1st St
San Rafael, CA 94901-3739
Mailing address
17 Cushing Ave
San Rafael, CA 94903-2807
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community Health Clinic/Center Primary | 261QC1500X | None listed |
Community Health Clinic/Center: Definition to come...
2 other providers at this address
About NPI 1902734858
Mark Hanson's National Provider Identifier is 1902734858, issued on May 11, 2026. The primary taxonomy on file is Community Health Clinic/Center (261QC1500X), and the practice location is in San Rafael, CA. The record was last updated on May 11, 2026.