Individual
TRAVIS HAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
10530 19TH AVE SE STE 201, EVERETT, WA 98208-4282
(425) 350-1790
Mailing address
10530 19TH AVE SE STE 201, EVERETT, WA 98208-4282
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
RN61456077
WA
Other
Enumeration date
10/03/2024
Last updated
10/03/2024
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