PAUL DANIEL HANSEN (MD) – Surgery Physician, NPI 1104818632
Surgery Physician
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for PAUL DANIEL HANSEN (MD)
Providence Portland Medical Center, 4805, Northeast Glisan Street, North Tabor, Portland, Metro, Multnomah County, Oregon, 97213, United States
SUITE 6N60
PORTLAND, OR 972132933
Phone: (503) 281-0561
Fax: (503) 416-7377
Type: Location
541 NE 20TH AVE STE 225
PORTLAND, OR 972322895
Phone: (503) 963-2801
Fax: (503) 963-2825
Type: Mailing
Cascadia Behavioral Healthcare Administrative Office, 847, Northeast 19th Avenue, Kerns, Portland, Metro, Multnomah County, Oregon, 97232, United States
SUITE 300
PORTLAND, OR 972322684
Phone: (503) 963-2801
Fax: (503) 963-2825
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $12.
Total Amount is formed as General ($12) + Research ($0) + Ownership ($0) = $12.
Last reported payment date: 2023-11-30 • Largest payer in this snapshot: Microline Surgical Inc ($12).
Total Amount
$12
General + Research + Ownership
Payments
3
Total payment records
General Amount
$12
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
2
Ownership records
Last Payment Date
2023-11-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Microline Surgical Inc | $12 |
| Applied Medical Corporation | $0 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2005-10-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20051021000952 | I | General Surgery | OR | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 97213)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | OR | |
| Physician Assistant | OR | |
| - | OR | |
| N E U R O L O G Y | OR | |
| Nurse Practitioner | OR | |
| Infectious Disease, Internal Medicine | OR | |
| Thoracic Surgery | OR | |
| Nurse Practitioner | OR | |
| Physician Assistant | WA | |
| Clinical Psychologist | OR |
Reviews
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