Individual
JULIE ANN HAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
306S IRVING, COQUILE, OR 97423
(541) 329-9492
Mailing address
306S IRVING, COQUILE, OR 97423
(541) 329-9492
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
200840909RN
OR
Other
Enumeration date
05/30/2019
Last updated
05/30/2019
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