Individual
KATIE GATELY HAGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9218 SW 75TH AVE, PORTLAND, OR 97223-1062
(541) 760-8336
Mailing address
9218 SW 75TH AVE, PORTLAND, OR 97223-1062
(541) 760-8336
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
16013
OR
Other
Enumeration date
01/30/2018
Last updated
01/30/2018
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