Bryan M Hagen in Bend - Psychiatric/mental Health, Adult

Bryan M Hagen - NPI 1790872000

Bryan M Hagen is a Psychiatric/mental Health, Adult in Bend, Oregon. Bryan M Hagen practices all healthcare services and medical treatments related to Psychiatric/mental Health, Adult. The NPI Number for Bryan M Hagen is 1790872000. The last update date is 2020-09-08.

Bryan M Hagen's current location address is 2955 N Highway 97 Ste 100, Bend, Oregon. You can contact this provider via phone number 5413138501 and fax number 5412412363. The mailing address for Bryan M Hagen is 2955 N Highway 97 Ste 100, Bend, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Bryan M Hagen
Address 2955 N Highway 97 Ste 100, Bend, Oregon
Phone Number 5413138501
Fax Number 5412412363
Sole Proprietor N
Credentials DNP, PMHNP

NPI Number Detail

NPI Number 1790872000
Provider Enumeration Date 2006-10-06
Last Updated Date 2020-09-08

Provider Mailing Address Detail

Address 2955 N Highway 97 Ste 100
City Bend
State Oregon (OR)
Post Code 977037559
Phone Number 5413138501
Fax Number 5412412363

Provider's Primary Taxonomy Detail

Speciality Psychiatric/mental Health, Adult
Taxonomy 163Wp0809X
Licence No 201042999RN
Definition:
A psychiatric nurse who cares for adult patients.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
500689745 OR --

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FAQs about Bryan M Hagen

What is the unique 10-digit identification code issued to Bryan M Hagen by the Centers for Medicare & Medicaid Services?

The Bryan M Hagen has been assigned the NPI (National Provider Identifier) 1790872000 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical address where Bryan M Hagen is geographically located?

The Bryan M Hagen is physically situated at the following location: 2955 N Highway 97 Ste 100, Bend, OR, 977037559.

What is Bryan M Hagen's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Bryan M Hagen is Psychiatric/mental Health, Adult, and the taxonomy code that categorizes this field of expertise is 163Wp0809X.

On what date was the 1790872000 assigned to Bryan M Hagen?

The Bryan M Hagen was issued its 1790872000 on 2006-10-06, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Bryan M Hagen, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Bryan M Hagen, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-09-08.

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