Breana Nicole Hagen-Ortiz, BS, BIS
NPI #1891537411 in Clarkston, Washington
Provider Information
- NPI Number
- 1891537411
- Entity Type
- Individual
- Name
- Breana Nicole Hagen-Ortiz, BS, BIS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Community/Behavioral Health
- Credential
- BS, BIS
- Enumeration Date
- Jun 12, 2024
- Last Updated
- Jun 12, 2024
Practice Location
- Address
- 1620 CHESTNUT ST APT B
- City
- Clarkston
- State
- Washington
- ZIP Code
- 99403-1155
- Phone
- (208) 310-6682
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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