Active NPI
Paul Wendell Hagen, DC
- Chiropractor
- Portland, OR
National Provider Identifier
1689738429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 272094
- Practice address
- 2348 NW Lovejoy St
Portland, OR 97210 - Phone
- (503) 224-7224
- NPI assigned
- Dec 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 272094 | OR | Primary |
Addresses
Primary practice location
2348 NW Lovejoy St
Portland, OR 97210
Mailing address
2348 NW Lovejoy St
Portland, OR 97210
Phone (503) 224-7224
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 272094 | OR | MD | Chiropractor |
| 2094 | OR | MD | Naturopath |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1689738429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2348 NW LOVEJOY ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97210",
"telephone_number": "503-224-7224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2348 NW LOVEJOY ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97210",
"telephone_number": "503-224-7224"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAGEN",
"first_name": "PAUL",
"middle_name": "WENDELL",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OR",
"license": "272094",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- 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.