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L. Keith Hanson Pllc
Rural Health Clinic/Center in Brewster, Washington
NPI 1316138720

L. Keith Hanson Pllc is a Rural Health Clinic/Center based in Brewster, WA and is specialized in Rural Health. L. Keith Hanson Pllc practices in Brewster, WA. The NPI Number for L. Keith Hanson Pllc is 1316138720 and holds a License No. 503894 (Washington).

The current practice location address for L. Keith Hanson Pllc is 520 W. Indian Avenue, Brewster, WA and can be reached out via phone at 590-689-2525 and via fax at 509-689-3247.

Location: 520 W. Indian Avenue, Brewster, WA, 98812-0337
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1316138720
Provider Name
L. Keith Hanson Pllc
Credential
Provider Entity Type
Organization
Address
520 W. Indian Avenue, Brewster, WA, 98812-0337
Phone Number
590-689-2525
Fax Number
509-689-3247
Provider Enumeration Date
08/09/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7126980 05 WA
institution
Provider Business Practice Location Address Details
Address
520 W. Indian Avenue
City
Brewster
State
Washington
Zip
98812
Phone Number
590-689-2525
Fax Number
509-689-3247
person
Provider Business Mailing Address Details
Address
520 W. Indian Avenue
City
Brewster
State
Washington
Zip
98812
Phone Number
590-689-2525
Fax Number
509-689-3247
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rural Health
Taxonomy
261QR1300X
License No.
503894 (Washington)
Definition
Definition to come...
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