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Individual

ERIC HAGEMEISTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
20512 SW ROY ROGERS RD STE 106, SHERWOOD, OR 97140-9301
(503) 908-4577
Mailing address
5947 SW KAHLE RD, WILSONVILLE, OR 97070-9727

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
PROFESSIONALLICENSE
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor

Other

Enumeration date
12/12/2022
Last updated
06/12/2025
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