MEDICARE: VICTORIA HANSEN MA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	MFTA.MG.61691674	WA

General Provider Information

NPI Number	:	1457227001
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VICTORIA HANSEN MA

Provider Business Mailing Address
First Line	:	4321 SW CHARLESTOWN ST
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98116-3739
Country	:	US
Telephone Number	:	206-898-5018
Fax Number	:

Provider Business Practice Location Address
First Line	:	4321 SW CHARLESTOWN ST
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98116-3739
Country	:	US
Telephone Number	:	206-898-5018
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/13/2025
Last Update Date	:	10/13/2025

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Directions to “ VICTORIA HANSEN MA” Practice Location

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