JENNIE B HAGEN MA NPI 1134287451

NPI Information

NPI: 1134287451
Provider Name: JENNIE B HAGEN, MA
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
2705 E BURNSIDE ST
SUITE 206
PORTLAND, OR
ZIP 97214
Phone: (503) 622-9140
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Jennie B Hagen, MA is a professional counselor in Portland, OR. Jennie B Hagen, MA NPI is 1134287451. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2705 E BURNSIDE ST
SUITE 206
PORTLAND, OR
ZIP 97214-763
Phone: (503) 622-9140

The enumeration date for this NPI number is 12/6/2006 and was last updated on 2/20/2014.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	LH60321408	WASHINGTON	No
2	101YP2500X	Counselor	Professional	C3345	OREGON	Yes

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: 11/14/2023

NPI Synchronization or Removal

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