MR. Jack S. Hansen

NPI #1962709915 in Clackamas, Oregon

Provider Information

NPI Number: 1962709915
Entity Type: Individual
Name: MR. Jack S. Hansen
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Feb 26, 2011
Last Updated: Feb 26, 2011

Practice Location

Address: 16300 SE EVELYN ST
City: Clackamas
State: Oregon
ZIP Code: 97015-9515
Phone: (888) 255-2269

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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