Warner Mathew Hansen

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

112502 Issued in OR

Practice address

PO Box 1414
Corvallis, OR 97339-1414

Phone

(541) 990-3918

NPI assigned

Nov 4, 2024

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pathfinder Clubhouse

  • Community/Behavioral Health Agency
  • Corvallis, OR
  • NPI 1225861446
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1730678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1508689944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1414",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973391414",
            "telephone_number": "541-990-3918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 1414",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973391414",
            "telephone_number": "541-990-3918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "WARNER",
        "middle_name": "MATHEW",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-11-04",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "OR",
            "license": "112502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kim Hannigan, PHD, ATC
• Aleksander W Hansen, DO
• Anne Lusignan Hansen, RN
• Dylan Anthony Hansen
• Mary Catherine Hansen, DO
• Katherine Renee Hanson
• Michael S. Hanson, CADC II MS
• Erik Hansson
• Dane A Happeny, PT, DPT, OCS, CF-L1
• Zain Haq, MD

• Community Health Worker in Corvallis, OR
• Providers in Corvallis, OR by specialty
• Community Health Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.