Individual
CASSIE HAGENAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3000 MARKET ST NE STE 228, SALEM, OR 97301-1803
(503) 302-0104
Mailing address
1129 BELLE PASSI RD, WOODBURN, OR 97071-5709
(503) 689-4495
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H7928
OR
Other
Enumeration date
01/14/2020
Last updated
11/27/2023
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