Provider Demographics
NPI:1144084229
Name:HANSEN, SHELLY L (RID CERTIFIED ASL)
Entity type:Individual
Prefix:MRS
First Name:SHELLY
Middle Name:L
Last Name:HANSEN
Suffix:
Gender:F
Credentials:RID CERTIFIED ASL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2210 CAPELLA CT
Mailing Address - Street 2:
Mailing Address - City:WEST RICHLAND
Mailing Address - State:WA
Mailing Address - Zip Code:99353-9035
Mailing Address - Country:US
Mailing Address - Phone:509-540-5645
Mailing Address - Fax:
Practice Address - Street 1:2210 CAPELLA CT
Practice Address - Street 2:
Practice Address - City:WEST RICHLAND
Practice Address - State:WA
Practice Address - Zip Code:99353-9035
Practice Address - Country:US
Practice Address - Phone:509-540-5645
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-09
Last Update Date:2024-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA605-359-446171R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter