JOHN DAVID HANSILL, M.D., PC
Medical Practice at 4 Ave, Ontario, OR

License number
Oregon MD153764
Category
Medical Practice
Type
Obstetrics & Gynecology
Owner
Name: DR. JOHN DAVID HANSILL MD
Title: PHYSICIAN
Phone: (541) 889-2229
Address
Address
1219 SW 4Th Ave SUITE 2, Ontario, OR 97914
National Provider ID: 1639511819
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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JOHN DAVID HANSILL, M.D., PC

Ontario, OR  -  Vale, OR

Registration:
Aug 2, 2013
Addresses:
1219 SW 4 Ave SUITE #2, Ontario, OR 97914 (Physical)
PO Box 430, Vale, OR 97918 (Mailing)
State ID:
95502895
Business type:
DOMESTIC PROFESSIONAL CORPORATION
Agent:
Rob't Dbutler,292 Main St So, Vale, OR 97918 (Physical)

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