Healthcare Provider Details

I. General information

NPI: 1538078407
Provider Name (Legal Business Name): OLIVIA E HANSON LICENSED MIDWIFE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/04/2026
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2314 N CHERRY ST STE 200
SPOKANE VALLEY WA
99216-1152
US

IV. Provider business mailing address

484 DAVAZ CARLTON RD
NEWPORT WA
99156-8397
US

V. Phone/Fax

Practice location:
  • Phone: 509-413-9093
  • Fax:
Mailing address:
  • Phone: 509-671-5931
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code176B00000X
TaxonomyMidwife
License Number3681123
License Number StateID
# 2
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License NumberMIDW.MW.70114958
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: