Individual provider Active NPI

Liana Felicia Hategan, MD

  • Forensic Psychiatry Physician
  • Beaverton, OR
National Provider Identifier
1184882623
Registry record updated Jan 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Forensic Psychiatry PhysicianTaxonomy code 2084F0202X
License
MD28011 Issued in OR
Practice address
3370 SW 192ND Ave
Beaverton, OR 97003-2346
Phone
(971) 228-8672
Fax
(971) 228-8673
NPI assigned
May 31, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Forensic Psychiatry Physician 2084F0202X MD28011 OR Primary

Addresses

Primary practice location

3370 SW 192ND Ave
Beaverton, OR 97003-2346

Mailing address

3370 SW 192ND Ave
Beaverton, OR 97003-2346
Phone (971) 228-8672

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Lifeline Connections Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1212192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609891200000",
    "number": "1184882623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3370 SW 192ND AVE",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970032346",
            "telephone_number": "971-228-8672",
            "fax_number": "971-228-8673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3370 SW 192ND AVE",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970032346",
            "telephone_number": "971-228-8672",
            "fax_number": "971-228-8673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATEGAN",
        "first_name": "LIANA",
        "middle_name": "FELICIA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-31",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084F0202X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "OR",
            "license": "MD28011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2021; 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.