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

NPI #1679770572 in Tigard, Oregon

Provider Information

NPI Number
1679770572
Entity Type
Individual
Name
MR. Brian Donald Hagan, B.S. C.O.T.A. L
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Occupational Therapy Assistant
Credential
B.S. C.O.T.A. L
Enumeration Date
Jul 3, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
14145 SW 105TH AVE
City
Tigard
State
Oregon
ZIP Code
97224-4808
Phone
(503) 961-4942

Specialties & Taxonomy Codes

Specialty
Occupational Therapy Assistant

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