Heidi M Hagman, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD18350 Issued in OR

Practice address

7150 SW Hampton St Ste 101a
Tigard, OR 97223-8365

Phone

(971) 236-4445

Fax

(503) 227-7572

NPI assigned

Dec 23, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Goldmark Wound Specialty Group Deschutes, LLC

  • Family Medicine Physician
  • Tigard, OR
  • NPI 1356166482
  NPD Authorized official
• Goldmark Wound Specialty Group Mpo, LLC

  • Family Medicine Physician
  • Tigard, OR
  • NPI 1568287688
  NPD Authorized official
• Westside Internal Medicine

  • Internal Medicine Physician
  • Portland, OR
  • NPI 1407932098
  NPD (past)
• Westside Internal Medicine

  • Internal Medicine Physician
  • Portland, OR
  • NPI 1972771327
  NPD (past)

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

{
    "created_epoch": "1135296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734566400000",
    "number": "1962489575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9155 SW BARNES RD",
            "address_2": "STE 230",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972256629",
            "telephone_number": "503-445-3235",
            "fax_number": "503-790-2293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7150 SW HAMPTON ST STE 101A",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972238365",
            "telephone_number": "971-236-4445",
            "fax_number": "503-227-7572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGMAN",
        "first_name": "HEIDI",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-23",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "MD18350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "278722",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE/PALMETT",
            "identifier": "P00372707",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE CROSS",
            "identifier": "003335020",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brian Donald Hagan, B.S. C.O.T.A. L
• Nicole Hagen
• Haggen Opco North LLC
• Rima Haggerty
• Kristen D'Anne Haglund, N.D.
• Sigmund Francis Haidacher
• Nolline Hakuna
• Hale Counseling NW, LLC
• James Matthew Hale
• Sharon Sierra Hale, M.A.

• Internal Medicine Physician in Tigard, OR
• Providers in Tigard, OR by specialty
• Internal Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.