Individual
CRAIG STEVEN HAGGETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, FNP
Contact information
Practice address
3727 NE MARTIN LUTHER KING JR BLVD, PORTLAND, OR 97212-1112
(503) 775-4931
(503) 788-7285
Mailing address
3727 NE MARTIN LUTHER KING JR BLVD, PORTLAND, OR 97212-1112
(503) 775-4931
(503) 788-7285
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
201501933RN
OR
163W00000X
Registered Nurse
815116
CA
163W00000X
Registered Nurse
RN60553698
WA
363L00000X
Nurse Practitioner
AP60565022
WA
363LF0000X
Family Nurse Practitioner
201501939NP-PP
OR
363LF0000X
Family Nurse Practitioner
95000311
CA
363LP2300X
Primary Care Nurse Practitioner
Primary
201501939NP-PP
OR
Other
Enumeration date
01/14/2014
Last updated
05/06/2022
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