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NPI Code Detail

MEDICARE: DR. PAMELA JEAN HANSON M.D.

MEDICARE: DR. PAMELA JEAN HANSON M.D.
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
1207QA0401XAddiction Medicine (Family Medicine) Physician35.050843OH
22083A0300XAddiction Medicine (Preventive Medicine) Physician35050843OH

General Provider Information

NPI Number : 1801121991
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PAMELA JEAN HANSON M.D.
Provider Business Mailing Address
First Line : 1401 STEFFEN AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45215-2338
Country : US
Telephone Number : 513-554-4100
Fax Number :
Provider Business Practice Location Address
First Line : 1401 STEFFEN AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45215-2338
Country : US
Telephone Number : 513-728-3999
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/07/2009
Last Update Date : 01/06/2026

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Directions to “ DR. PAMELA JEAN HANSON M.D.” Practice Location

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