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DR. KERRY BRENT HAGEN MD NPI 1295717379


NPI Information

NPI: 1295717379
Provider Name: DR. KERRY BRENT HAGEN, MD
Classification: Ophthalmology - 207W00000X
Entity Type: Individual
Address:
1955 NW NORTHRUP ST
PORTLAND, OR
ZIP 97209
Phone: (503) 227-2020
Get Directions

DR. Kerry Brent Hagen, MD is an ophthalmology in Portland, OR. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. DR. Kerry Brent Hagen, MD NPI is 1295717379. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1955 NW NORTHRUP ST
PORTLAND, OR
ZIP 97209-614
Phone: (503) 227-2020
Fax: (503) 222-0614

The enumeration date for this NPI number is 11/15/2005 and was last updated on 11/17/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207W00000XOphthalmologyMD18505OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1121033MEDICAIDOREGON
200WFBZKDMEDICARE PINOREGON
3E17401MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.