Edward Hagen is a Dentist in Portland, Oregon. Edward Hagen practices all healthcare services and medical treatments related to Dentist. The NPI Number for Edward Hagen is 1861590846. The last update date is 2008-11-04.
Edward Hagen's current location address is 620 Southeast 160th Ave, Portland, Oregon. You can contact this provider via phone number 5035259527 and fax number 5032524516. The mailing address for Edward Hagen is 620 Southeast 160th Ave, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Edward Hagen |
|---|---|
| Address | 620 Southeast 160th Ave, Portland, Oregon |
| Phone Number | 5035259527 |
| Fax Number | 5032524516 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1861590846 |
|---|---|
| Provider Enumeration Date | 2006-09-21 |
| Last Updated Date | 2008-11-04 |
Provider Mailing Address Detail
| Address | 620 Southeast 160th Ave |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 97233 |
| Phone Number | 5035259527 |
| Fax Number | 5032524516 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | D3960 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique 10-digit identification code assigned to Edward Hagen by the Centers for Medicare & Medicaid Services?
The Edward Hagen has been issued the NPI (National Provider Identifier) 1861590846, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Edward Hagen's facilities are situated?
The facilities of Edward Hagen are physically located at the following address: 620 Southeast 160Th Ave, Portland, OR, 97233.
What is the Edward Hagen's specialty and taxonomy code?
The Edward Hagen's specialty is Dentist, and the corresponding taxonomy code is 122300000X.
When did Edward Hagen receive its 1861590846 assignment?
The Edward Hagen was assigned its 1861590846 on 2006-09-21, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Edward Hagen, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Edward Hagen, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-11-04.
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