Candace Marilyn Hagenauer, LMT

NPI #1295982023 in Woodburn, Oregon

Provider Information

NPI Number: 1295982023
Entity Type: Individual
Name: Candace Marilyn Hagenauer, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Contractor
Credential: LMT
Enumeration Date: Aug 22, 2008
Last Updated: Aug 22, 2008

Practice Location

Address: 561 ARTHUR ST
City: Woodburn
State: Oregon
ZIP Code: 97071-4713
Phone: (503) 981-9344

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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