KENNETH J HANSEL
Managed Care Organizations at 20 Ave, Vancouver, WA

License number
Washington 14775
Category
Managed Care Organizations
Type
Health Maintenance Organization
Address
Address 2
14406 NE 20Th Ave, Vancouver, WA 98686
284 N X St, Washougal, WA 98671
Phone
(503) 261-7541
National Provider ID: 1568647238
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Personal information

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Name
Address
Phone
Kenneth J Hansel, age 58
18314 16Th St, Vancouver, WA 98683
(360) 885-9636
Kenneth J Hansel, age 59
3601 Cavitt Rd, Camas, WA 98607
(360) 834-3754

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