Active NPI
Amanda Louise Hagen
- Doula
- Newberg, OR
National Provider Identifier
1700620838
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Doula
- License
- THW000111511
- Practice address
- 310 N School St
Newberg, OR 97132-2627 - Phone
- (503) 744-7557
- NPI assigned
- Jun 24, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Doula | 374J00000X | THW000111511 | OR | Primary |
Addresses
Primary practice location
310 N School St
Newberg, OR 97132-2627
Mailing address
310 N School St
Newberg, OR 97132-2627
Phone (503) 744-7557
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| THW000111511 | Other | OR | OREGON HEALTH AUTHORITY THW |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| THW000111511 | OR | MD | Doula |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719187200000",
"number": "1700620838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 N SCHOOL ST",
"city": "NEWBERG",
"state": "OR",
"postal_code": "971322627",
"telephone_number": "503-744-7557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 N SCHOOL ST",
"city": "NEWBERG",
"state": "OR",
"postal_code": "971322627",
"telephone_number": "503-744-7557"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAGEN",
"first_name": "AMANDA",
"middle_name": "LOUISE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-06-24",
"last_updated": "2024-06-24",
"certification_date": "2024-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": "OR",
"license": "THW000111511",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OREGON HEALTH AUTHORITY THW",
"identifier": "THW000111511",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Newberg, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.