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Individual

MS. REBECCA HAGERWAITE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
1232 UNIVERSITY OF OREGON, EUGENE, OR 97403-1205
(541) 346-4447
Mailing address
1232 UNIVERSITY OF OREGON, EUGENE, OR 97403-1205
(541) 346-4447

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
200950135
OR

Other

Enumeration date
09/16/2009
Last updated
09/16/2009
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