Bruce D Hahne, CRM

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

THW2447 Issued in OR

Practice address

338 N Front St
Medford, OR 97501-5934

Phone

(541) 326-4905

Fax

(541) 608-2888

NPI assigned

Mar 14, 2018

Sex

Male

Sole proprietor

No

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

State licenses

Practice roles

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.

• Addictions Recovery Center, Inc.

  • Substance Abuse Rehabilitation Facility
  • Medford, OR
  • NPI 1346282035
  NPD (past)

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

{
    "created_epoch": "1520985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520985600000",
    "number": "1265935332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 E MAIN ST STE 104",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975047140",
            "telephone_number": "541-326-4905",
            "fax_number": "541-608-2888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "338 N FRONT ST",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975015934",
            "telephone_number": "541-326-4905",
            "fax_number": "541-608-2888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAHNE",
        "first_name": "BRUCE",
        "middle_name": "D",
        "credential": "CRM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-14",
        "last_updated": "2018-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OR",
            "license": "THW2447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzin M Hagar, MD
• Mark Robert Hageman, DDS
• Lynn Hager
• Nancy L Hagloch, MD
• Kenneth F Hahn, R.PH.
• Tanya M Haight, OT
• Jennifer Haire
• Nicole Christine Hakenson, PA-C
• Shana Kay Hakes
• Joelle Hakoum

• Peer Specialist in Medford, OR
• Providers in Medford, OR by specialty
• Peer Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.