DR. Heidi J Hansen, D.M.D.

NPI #1063655967 in Portland, Oregon

Provider Information

NPI Number
1063655967
Entity Type
Individual
Name
DR. Heidi J Hansen, D.M.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist
Credential
D.M.D.
Enumeration Date
Apr 8, 2009
Last Updated
Oct 23, 2023

Practice Location

Address
4805 NE GLISAN ST STE 11N
State
Oregon
ZIP Code
97213-2933
Phone
(503) 215-1676

Specialties & Taxonomy Codes

Specialty
Dentist
Dentist - Oral MedicineOral Medicine

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