Steve Enn Hagan, BSN

Primary specialty

Ambulatory Care Registered NurseTaxonomy code 163WP2201X

License

200842477RN Issued in OR

Practice address

1601 E Fourth Plain Blvd
Vancouver, WA 98661-3713

Phone

(503) 220-8262

NPI assigned

Jul 4, 2018

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1530662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530662400000",
    "number": "1164918991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17600 NE MULTNOMAH DR",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972306337",
            "telephone_number": "971-703-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 E FOURTH PLAIN BLVD",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986613713",
            "telephone_number": "503-220-8262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGAN",
        "first_name": "STEVE",
        "middle_name": "ENN",
        "credential": "BSN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-04",
        "last_updated": "2018-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP2201X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "OR",
            "license": "200842477RN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan Hackler
• Christopher Blake Hackmeyer, RN
• Summer Haddad
• Amanda Jo Hadwick, CCC-SLP
• Victoria Lynn Hafoka, SUDPT
• Janae Hagel
• Hagen Chiropractic Group, Inc., P.C.
• Heather Lee Hagen, CAAR
• Kendall Pauline Hagensen, LMHCA
• Benjamin Ian Hager, WA.MA.70100167

• Ambulatory Care Registered Nurse in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Ambulatory Care Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.