Individual
CHRISTOPHER B HAGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3333 RIVERBEND DRIVE, SPRINGFIELD, OR 97477-8800
(541) 222-3154
(541) 222-3359
Mailing address
P.O. BOX 7247, SPRINGFIELD, OR 97475-0011
(541) 686-9551
(541) 687-6716
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
MD00048122
WA
207L00000X
Anesthesiology Physician
Primary
MD28109
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5660HA
BLUE SHIELD #
WA
05
—
8501355
—
WA
Enumeration date
02/16/2007
Last updated
10/12/2012
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