Individual
DR. BRETT NORMAN HAGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
521 W. GARLAND AVENUE, SPOKANE, WA 99205-2954
(509) 327-9505
(509) 325-3277
Mailing address
521 W. GARLAND AVENUE, SPOKANE, WA 99205-2954
(509) 327-9505
(509) 325-3277
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3101TX
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0145801
L & I
WA
05
—
2024560
—
WA
01
—
4008190001
DMERC
WA
01
—
E08254
KCMB SHIELD
WA
Enumeration date
10/03/2006
Last updated
07/08/2007
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