Hogansen, Jennifer Malia

Hogansen, Jennifer Malia is an individual health care provider with primary practice located at 444 Nw Elks Dr , Corvallis OR 97330-3745. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Hogansen, Jennifer Malia can be contacted via phone (541) 754-1288.

Contact Information

Primary practice address
444 Nw Elks Dr Corvallis OR 97330-3745
Phone: (541) 754-1288
Fax: (541) 754-2772
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 1686 Oregon

Profile Details

NPI number 1154418101
LBN Legal business name Hogansen, Jennifer Malia
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 9th, 2006
Last updated Aug 12th, 2008 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154418101 NPPES
Oregon MEDICAID 005767

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