Hagman, Heidi M
Hagman, Heidi M is an individual health care provider with primary practice located at 7150 Sw Hampton St Ste 101A , Tigard OR 97223-8365. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Hagman, Heidi M can be contacted via phone (971) 236-4445.Contact Information
Primary practice address
7150 Sw Hampton St Ste 101A
Tigard OR 97223-8365
Phone: (971) 236-4445
Fax: (503) 227-7572
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD18350 | Oregon |
Profile Details
| NPI number | 1962489575 |
|---|---|
| LBN Legal business name | Hagman, Heidi M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 23rd, 2005 |
| Last updated | Dec 19th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962489575 | NPPES |
| Oregon | MEDICAID | 278722 | |
| Oregon | Other | P00372707 | |
| Oregon | Other | 003335020 |
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