Individual
MR. DAVID J HAGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
327 NE 5TH AVE, CAMAS, WA 98607
(360) 834-3141
(360) 834-2334
Mailing address
PO BOX 1004, 327 NE 5TH AVENUE, CAMAS, WA 98607
(360) 834-3141
(360) 834-3334
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00023984
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1056522
—
WA
Enumeration date
10/21/2006
Last updated
06/25/2010
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