Brian Donald Hagan, B.S. C.O.T.A. L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

1008623 Issued in OR

Practice address

14145 SW 105TH Ave
Tigard, OR 97224-4808

Phone

(503) 961-4942

NPI assigned

Jul 3, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679770572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10974 SW DURHAM RD APT 57",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972244350",
            "telephone_number": "503-961-4942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14145 SW 105TH AVE",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972244808",
            "telephone_number": "503-961-4942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGAN",
        "first_name": "BRIAN",
        "middle_name": "DONALD",
        "name_prefix": "Mr.",
        "credential": "B.S.  C.O.T.A. L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "OR",
            "license": "1008623",
            "primary": true
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WA",
            "license": "OCOOOO1012",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frank Carter Habecker, CADC-R
• Beverly Ki Hacely, N.D., L.AC.
• Felicia Diane Hackerott, PTA
• Colton Jordon-Michael Hafeman, DNP, FNP-BC
• Kevin Haffner, PHARMD
• Nicole Hagen
• Haggen Opco North LLC (Haggen Pharmacy #2074)
• Rima Haggerty
• Kristen D'Anne Haglund, N.D.
• Heidi M Hagman, M.D.

• Occupational Therapy Assistant in Tigard, OR
• Providers in Tigard, OR by specialty
• Occupational Therapy Assistant in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.