Individual
MATTHEW HAGLUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1620 NE 122ND AVE, PORTLAND, OR 97230
(503) 571-3366
Mailing address
13668 SE SIERRA DR, CLACKAMAS, OR 97015-7528
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
64675
OR
Other
Enumeration date
09/26/2022
Last updated
09/26/2022
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