Most Relevant Information
Provider Data
| NPI Number: | 1003456914 |
| Provider Name: | AMBER HANSON |
| Entity Type: | Individual |
| Taxonomy Code: | 175T00000X |
| Specialty: | Peer Specialist |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/08/2020 |
| Last Updated: | 01/08/2020 |
Provider Practice Location
100 N TRIBAL CENTER RD
SKOKOMISH NATION
WA
985849748
Practice Location Phone/Fax
| Phone: | 3604265755 |
| Fax: |
Provider Mailing Location
171 N TRIBAL CENTER RD
SKOKOMISH NATION
WA
985849748
Provider Mailing Phone/Fax
| Phone: | 3604265755 |
| Fax: |