Organization
JULIE HOGEN PMHNP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JULIE LURA HOGEN PMHNP (PMHNP)
(503) 620-3200
Entity
Organization
Contact information
Practice address
6950 SW HAMPTON STREET, #109, TIGARD, OR 97223-8330
(503) 620-3200
(503) 670-7888
Mailing address
6950 SW HAMPTON STREET, #109, TIGARD, OR 97223-8330
(503) 620-3200
(503) 670-7888
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
336739-97
LLC
OR
Enumeration date
08/05/2006
Last updated
03/07/2023
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