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Mulloy G. Hansen, M.D

NPI 1538358635ActiveIndividual· Family Medicine· Lewiston, ID

Family Medicine (M.D) in Lewiston, Idaho, licensed in ID and WA, with an NPI issued in October 2007. Enrolled in Medicare as practitioner - family practice.

Overview

NPI1538358635
StatusActive
Entity typeIndividual
CredentialM.D
Sole proprietorYes
NPI issuedOct 15, 2007
Last updated in NPPESJun 29, 2011

Specialties and licenses

TaxonomyCodeLicenseState
Family Medicine Primary207Q00000XM-10654ID
Family Medicine207Q00000XMD00015580WA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Family Practice (ID)

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Family Medicine providers in Lewiston

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