Individual
JAMES J HASENAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
545 NE 47TH AVE STE 215, PORTLAND, OR 97213-2237
(503) 731-2900
Mailing address
PO BOX 4000-21, PORTLAND, OR 97213
(949) 263-8620
(949) 263-1639
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
A89001
CA
2085R0202X
Diagnostic Radiology Physician
Primary
MD27906
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A890010
BLUE SHIELD
CA
05
—
00A890010
—
CA
05
—
247718
—
CA
01
—
840126029
REGENCE BS BC
OR
05
—
8501595
—
WA
Enumeration date
05/11/2006
Last updated
05/13/2008
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