OLE HANSEN (NPI# 1538495734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538495734 |
| Entity Type | Individual |
| Full Name | OLE HANSEN |
| Credential | M.D. |
| Practice Address |
2605 State St Salem OR 97310-1346 |
| Practice Telephone | 5033731840 |
| Practice Fax Number | 5033782378 |
| Mailing Telephone | 5033731840 |
| Mailing Fax Number | 5033782378 |
| Enumeration Date | 2009-10-22 |
| Last Update Date | 2010-10-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
MD11961 | OR | Allopathic & Osteopathic Physicians |
| Street Address |
2605 STATE ST |
| City | SALEM |
| State | OR |
| Zip Code | 97310-1346 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336784008 | Jobel Gushi | Counselor | 2605 State St, Salem, OR 97310-2831 | 2019-11-17 |
| 1083263529 | David Brown | Student in an Organized Health Care Education/Training Program | 2605 State St, Salem, OR 97310-1346 | 2019-09-07 |
| 1144593138 | Elizabeth Renee Mills | Nurse Practitioner | 2605 State St, Salem, OR 97310-5045 | 2012-02-22 |
| 1831466051 | Pamela Rae Ward | Counselor | 2605 State St, Salem, OR 97310-1346 | 2011-11-17 |
| 1851620850 | Mark Anthony Menes | Dentist | 2605 State St, Salem, OR 97310-1346 | 2009-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740378850 | Susan Owre Gelberg | Psychologist | 2605 State Street, Oregon State Penitentiary, Salem, OR 97310 | 2006-10-11 |
| 1023595899 | Gregory Lee Miller | Dentist | 3405 Derr Park Rd Se, Salem, OR 97310-0001 | 2018-07-25 |
| 1417361312 | Multi-cultural Consultants, Ltd | Community/Behavioral Health | Freedom & Recovery Program, 3405 Deer Park Dr. Se, Salem, OR 97310-0001 | 2014-06-18 |
| 1013329911 | Ricardo Olalde | Counselor | Freedom & Recovery Program A D Program, 3405 Deer Park Dr. Se, Salem, OR 97310-0001 | 2014-05-27 |
| 1215142294 | Donald Dravis | Psychiatry & Neurology | Oregon State Penitentiary, 2605 State Street, Salem, OR 97310-0001 | 2007-05-11 |
| 1861605768 | Barbara S Miller | Nurse Practitioner | Odoc, 2605 State St, Salem, OR 97310-0001 | 2007-05-07 |
| 1881819563 | Daryl Spencer Ruthven | Psychiatry & Neurology | 2575 Center St Ne, Counseling & Treatment Services, Salem, OR 97310-0001 | 2007-04-16 |
| 1447395710 | Michael Puerini | Family Medicine | 3405 Deer Park Dr Se, Salem, OR 97310-9302 | 2007-02-21 |
| 1316272578 | Harold Edward Mclean | Physician Assistant | 3405 Deer Park Dr Se, Oregon State Correctional Institute, Salem, OR 97310-9302 | 2009-10-06 |
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568485043 | Anton John Dubrick | Family Medicine | 420 W Schwartz St, Salem, IL 62881-1552 | 2006-07-25 |
| 1104272921 | Randell Peter Jura | Family Medicine | 4666 Commercial St Se, Salem, OR 97302-1902 | 2016-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700421435 | Carehere LLC | Family Medicine | 12106 Ne Ainsworth Cir Ste 5, Portland, OR 97220-9001 | 2019-11-18 |
| 1053839217 | Transitional Life Care Clinic, Inc. | Family Medicine | 15604 Sw Rock of Ages Rd, Mcminnville, OR 97128-8531 | 2017-09-07 |
| 1588088785 | Robert Michael Hakala | Family Medicine | 2300 Neff Road, Volunteers In Medicine Clinic, Bend, OR 97701 | 2014-02-07 |
| 1043453582 | Paul E Vanbredavriesman | Family Medicine | 18000 Se Stark Street, Gresham, OR 97233 | 2009-04-14 |
| 1154548881 | Leta Teresa Callahan | Family Medicine | 230 Rowe Road, Wheeler, OR 97147 | 2007-04-20 |
| 1952527871 | Ben Harold Douglas II | Family Medicine | 1100 3rd St, Tillamook, OR 97141-3402 | 2007-04-18 |
| 1629109335 | Melissa Noble | Family Medicine | 628 N Main Street, Ashland, OR 97520-1710 | 2007-03-07 |
| 1730275488 | Richard Hansen | Family Medicine | 300 N Mill St Ste A, Creswell, OR 97426-9848 | 2006-10-04 |
| 1376584011 | Leonard Dewitt Savage | Family Medicine | 480 Ne A St, Madras, OR 97741-1844 | 2006-06-10 |
| 1346202082 | David Snook | Family Medicine | 367 Normal Ave, Ashland, OR 97520-1329 | 2006-04-06 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.