Individual
DR. BRETT NORMAN HAGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
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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