Healthcare Provider Details

I. General information

NPI: 1437401478
Provider Name (Legal Business Name): GILLIAN HANSON N.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/14/2012
Last Update Date: 02/27/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

219 COLLINGWOOD ST
SAN FRANCISCO CA
94114-2418
US

IV. Provider business mailing address

219 COLLINGWOOD ST
SAN FRANCISCO CA
94114-2418
US

V. Phone/Fax

Practice location:
  • Phone: 504-931-3498
  • Fax:
Mailing address:
  • Phone: 504-931-3498
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number1913
License Number StateOR
# 2
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberND634
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: