Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mulloy G Hansen, MD

Individual provider Family Medicine Physician · NPI 1538358635

Mulloy G Hansen, MD is a Family Medicine Physician in Lewiston, Idaho. Practices as a sole proprietor. Licensed in Idaho and Washington.

Licensed in
ID, WA
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

338 6th St Ste 101
Lewiston, ID 83501-2419
Phone: (120) 884-8830
Fax: (509) 444-7806
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence M-10654 (ID)
Family Medicine Physician Taxonomy 207Q00000X · Licence MD00015580 (WA)

Record details

NPI number1538358635
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedOctober 15, 2007
Last updated in NPPESJune 29, 2011
Mailing address203 N Washington St Ste 300, Spokane, WA 99201-0233

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