Organization Active NPI

Liana Hategan MD PC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Beaverton, OR
National Provider Identifier
1235442203
Registry record updated Jan 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
LIANA HATEGAN MD PC
Practice address
3370 SW 192ND Ave
Beaverton, OR 97003-2346
Phone
(971) 228-8672
Fax
(971) 228-8673
NPI assigned
Jul 20, 2010
Organization subpart
No

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

Authorized official

Name
Dr. Liana F Hategan, M.D.
Title
Director
Phone
(971) 228-8672

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 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

Other practice location 1

429 N Water St
Silverton, OR 97381-1645
Phone (971) 228-8672

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
38D2066860Liana Hategan MD PC3370 SW 192ND Avenue, Beaverton, OR 97003Certificate of waiverOct 3, 2027

National Provider Directory

National Provider Directory

Locations

10151 SW Barbur Blvd
Ste 102D
Portland, OR 97219
Phone (503) 238-5580

429 N Water St
#F
Silverton, OR 97381
Phone (757) 617-9444

NPI Registry JSON

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

{
    "created_epoch": "1279584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609891200000",
    "number": "1235442203",
    "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": [
        {
            "address_1": "429 N Water St",
            "address_purpose": "LOCATION",
            "city": "Silverton",
            "state": "OR",
            "postal_code": "973811645",
            "country_code": "US",
            "telephone_number": "971-228-8672",
            "fax_number": "971-228-8673",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LIANA HATEGAN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-20",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A",
        "authorized_official_last_name": "HATEGAN",
        "authorized_official_first_name": "LIANA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "971-228-8672",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "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.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.