Individual
BRANDY ELAINE HAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
2410 SE 10TH AVE, PORTLAND, OR 97214
(503) 217-4457
Mailing address
13830 SE 322ND AVE, BORING, OR 97009-7086
(503) 258-4200
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6321
OR
Other
Enumeration date
05/25/2014
Last updated
09/28/2023
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