Individual
ERIKA HAGEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1012 NW 6TH ST, GRANTS PASS, OR 97526-1114
(541) 218-7404
Mailing address
1542 APPLEGATE AVE, GRANTS PASS, OR 97527-7208
(541) 218-7404
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
26076
OR
Other
Enumeration date
09/04/2021
Last updated
09/04/2021
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