Provider Demographics
NPI:1427253434
Name:HAN, ESTHER (MD)
Entity type:Individual
Prefix:DR
First Name:ESTHER
Middle Name:
Last Name:HAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13011 COUNTY ROAD 31.9
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:CO
Mailing Address - Zip Code:81091-9704
Mailing Address - Country:US
Mailing Address - Phone:503-523-7251
Mailing Address - Fax:
Practice Address - Street 1:CORNER OF RT 7 AND N12
Practice Address - Street 2:
Practice Address - City:FORT DEFIANCE
Practice Address - State:AZ
Practice Address - Zip Code:86504
Practice Address - Country:US
Practice Address - Phone:503-523-7251
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-19
Last Update Date:2020-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORLL16589390200000X
PAMD446601208600000X
NMMD2016-0884208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program