Individual
JOSHUA JOHN HAGEMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.T
Contact information
Practice address
4242 COMMERCE ST, SUITE A, EUGENE, OR 97402-5412
(541) 484-9632
(541) 484-7466
Mailing address
16083 SW UPPER BOONES FERRY RD, SUITE 300, TIGARD, OR 97224-7736
(800) 219-8835
(503) 639-9699
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6289
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500625641
—
OR
01
—
P00952513
RR MEDICARE
OR
Enumeration date
08/11/2010
Last updated
11/08/2012
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