| Nicholas Hanson, MD | |
|
2925 Ryan Dr Se, Salem, OR 97301-9687 | |
| (503) 399-1262 | |
| (503) 485-3738 |
| Full Name | Nicholas Hanson |
|---|---|
| Gender | Male |
| Speciality | Radiology - Vascular & Interventional Radiology |
| Location | 2925 Ryan Dr Se, Salem, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356568661 | NPI | - | NPPES |
| 1356568661 | Medicaid | CA | |
| 00A984160 | Other | CA | BS OF CA |
| 500698850 | Medicaid | OR |
| Entity Name | Portland Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558379099 PECOS PAC ID: 8224942867 Enrollment ID: O20031118000101 |
| Entity Name | Salem Radiology Consultants PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649221813 PECOS PAC ID: 0446148498 Enrollment ID: O20040419000602 |
| Entity Name | Salem Clinic PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912935594 PECOS PAC ID: 7517954514 Enrollment ID: O20040430000150 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicholas Hanson, MD 2925 Ryan Dr Se, Salem, OR 97301-9687 Ph: (503) 399-1262 | Nicholas Hanson, MD 2925 Ryan Dr Se, Salem, OR 97301-9687 Ph: (503) 399-1262 |
Michael Smolin, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2925 Ryan Dr Se, Salem, OR 97301 Phone: 503-399-1262 Fax: 503-371-0777 |
Matthew Y Kang, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 875 Oak St Se, Suite 1080, Salem, OR 97301 Phone: 503-561-5294 Fax: 503-561-4789 |
Gary Jones, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2925 Ryan Dr Se, Salem, OR 97301 Phone: 503-399-1262 Fax: 503-371-0777 |
Dr. Jason Cody Hedge, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2925 Ryan Dr Se, Salem, OR 97301 Phone: 503-399-1262 |
Dr. Edwin Yen Wang, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 698 12th St Se Ste 145, Salem, OR 97301 Phone: 503-588-2674 Fax: 503-391-1200 |
Thomas Cullen, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2925 Ryan Dr Se, Salem, OR 97301 Phone: 503-399-1262 Fax: 503-371-0777 |
David Harrison, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2925 Ryan Dr Se, Salem, OR 97301 Phone: 503-399-1262 Fax: 503-371-0777 |