Individual
STEVE ENN HAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BSN
Contact information
Practice address
1601 E FOURTH PLAIN BLVD, VANCOUVER, WA 98661-3713
(503) 220-8262
Mailing address
17600 NE MULTNOMAH DR, PORTLAND, OR 97230-6337
(971) 703-9001
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
200842477RN
OR
Other
Enumeration date
07/04/2018
Last updated
07/04/2018
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