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NPI Code Detail

MEDICARE: DR. EMILY ROSCHER HANSON AU.D.

MEDICARE: DR. EMILY ROSCHER HANSON AU.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
1231H00000XAudiologist

General Provider Information

NPI Number : 1790714855
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. EMILY ROSCHER HANSON AU.D.
Provider Business Mailing Address
First Line : 1311 S SHELTON ST
Second Line :
City : SEATTLE
State : WA
Zip : 98108-1839
Country : US
Telephone Number : 352-219-2185
Fax Number :
Provider Business Practice Location Address
First Line : 1600 S COLUMBIAN WAY
Second Line : ATTN: AUDIOLOGY (126)
City : SEATTLE
State : WA
Zip : 98108-1565
Country : US
Telephone Number : 206-764-2499
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2006
Last Update Date : 02/20/2009

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