Dr. HEIDI J HANSEN D.M.D.
Individual Provider (NPI-1)
Active
Oral Medicine
Provider Information
- NPI Number
1063655967- Provider Type
- Individual Provider (NPI-1)
- Credentials
- D.M.D.
- Status
- Active
Contact & Location
- Address
- 4805 NE GLISAN ST STE 11N, PORTLAND, OR, 972132933
- Phone
- (503) 215-1676
Specialties & Taxonomies
Dentist
License: OR #D11216
Dentist
License: NY #055295
Oral Medicine
License: NY #055295
Oral Medicine
Primary License: OR #D11216