Individual
DR. HEIDI M HAGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7150 SW HAMPTON ST STE 101A, TIGARD, OR 97223-8365
(971) 236-4445
(503) 227-7572
Mailing address
9155 SW BARNES RD, STE 230, PORTLAND, OR 97225-6629
(503) 445-3235
(503) 790-2293
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD18350
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003335020
REGENCE BLUE CROSS
OR
05
—
278722
—
OR
01
—
P00372707
RAILROAD MEDICARE/PALMETT
OR
Enumeration date
12/23/2005
Last updated
12/19/2024
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