MR. BRIAN DONALD HAGAN (NPI# 1679770572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679770572 |
| Entity Type | Individual |
| Full Name | MR. BRIAN DONALD HAGAN |
| Credential | B.S. C.O.T.A. L |
| Practice Address |
14145 Sw 105th Ave Tigard OR 97224-4808 |
| Mailing Address |
10974 Sw Durham Rd Apt 57 Tigard OR 97224-4350 |
| Practice Telephone | 5039614942 |
| Mailing Telephone | 5039614942 |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 224Z00000X | Occupational Therapy Assistant | OCOOOO1012 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 224Z00000X | Occupational Therapy Assistant | 1008623 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972034494 | Brian Hagan | Internal Medicine | 1717 S. J. Street, Suite 336, S. Pavilion, Ms 01-30, Tacoma, WA 98405 | 2017-03-26 |
| 1295978922 | Brian A Hagan | Emergency Medicine | 725 North St, Pittsfield, MA 01201-4109 | 2009-04-10 |
| 1225033822 | Brian M Hagan | Internal Medicine | 1836 South Ave, La Crosse, WI 54601-5429 | 2005-06-20 |
| Street Address |
14145 SW 105TH AVE |
| City | TIGARD |
| State | OR |
| Zip Code | 97224-4808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154382539 | Pacific Gardens Estates LLC | Skilled Nursing Facility | 14145 Sw 105th Ave, Tigard, OR 97224-4808 | 2006-03-28 |
| 1982253423 | Sara Kowalczyk | Occupational Therapist | 14145 Sw 105th Ave, Tigard, OR 97224-4808 | 2019-09-07 |
| 1285140426 | Tammi Hanson | Speech-Language Pathologist | 14145 Sw 105th Ave, Tigard, OR 97224-4808 | 2017-12-26 |
| 1649781287 | Allison Christ | Physical Therapist | 14145 Sw 105th Ave, Tigard, OR 97224-4808 | 2017-10-23 |
| 1861676900 | Rebecca Grace Snyder | Physical Therapist | 14145 Sw 105th Ave, Tigard, OR 97224-4808 | 2007-12-26 |
| 1346422433 | Teresa Maria Hasenour | Occupational Therapist | 14145 Sw 105th Ave, Tigard, OR 97224-4808 | 2007-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154973139 | Katherine Raineri | Psychologist | 7213 Sw Hazel Fern Rd, Tigard, OR 97224 | 2019-07-10 |
| 1871064618 | Stacey A Wenzel | Speech-Language Pathologist | 17020 Sw Upper Boones Ferry Rd.,suite 201, Tigard, OR 97224 | 2018-12-05 |
| 1376010090 | Meredith Rae Brezinski | Physical Therapist | 18019 Sw Boones Ferry Road, Tigard, OR 97224 | 2018-10-31 |
| 1649759358 | Viktoriya A Chiliy | Behavior Technician | 15290 Sw Royalty Parkway, Tigard, OR 97224 | 2018-08-13 |
| 1609384866 | Rachel E King | Physical Therapist | 18040 Sw Lower Boones Ferry Rd Ste 200, Tigard, OR 97224 | 2018-01-22 |
| 1689190134 | Isabelle Cooper Klee Caballero | Speech-Language Pathologist | 17020 Sw Upper Boones Ferry Road Suite 201, Tigard, OR 97224 | 2017-08-16 |
| 1427573146 | Breanna M Sandefur | Behavior Technician | 15290 Sw Royalty Pkwy, Tigard, OR 97224 | 2017-08-03 |
| 1083141196 | Krista Espenship | Registered Nurse | 8032 Sw Ashford St, Tigard, OR 97224 | 2017-05-19 |
| 1275067928 | Emily Elizabeth Myers | Behavioral Analyst | 15290 Royalty Parkway, Tigard, OR 97224 | 2017-04-19 |
| 1235684937 | Melanie Salvador | Nurse Practitioner | 15352 Sw Oakmont Pl, Tigard, OR 97224 | 2016-08-23 |
| Find all providers in zip 97224 | ||||
| Taxonomy Code | 224Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapy Assistant |
| An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examination for occupational therapy assistants, and fulfills state requirements for licensure, certification, or registration. An occupational therapy assistant provides interventions under the supervision of an occupational therapist which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapy assistants address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, source changed] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619377785 | Supplemental Healthcare | Occupational Therapy Assistant | 7320 Sw Hunziker St Ste 203, Tigard, OR 97223-2301 | 2014-08-26 |
| 1811295504 | Debra Rinard | Occupational Therapy Assistant | 7320 Sw Hunziker St, 203, Tigard, OR 97223-8283 | 2011-03-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982204509 | Uchendu Ezra Iwuanyanwu | Occupational Therapy Assistant | 3550 S Bond Ave, Portland, OR 97239-4507 | 2020-11-01 |
| 1891307807 | Leslie Elizabeth Talarico | Occupational Therapy Assistant | 3223 Se 118th Ave, Portland, OR 97266-1607 | 2020-08-20 |
| 1801431218 | Denise Dorgan-miller | Occupational Therapy Assistant | Providence Elder Place, 4400 Ne Halsey Suite 200, Portland, OR 97213 | 2019-11-08 |
| 1497398523 | Meghan Link | Occupational Therapy Assistant | 13333 Sw 68th Pkwy, Portland, OR 97223-9196 | 2019-10-22 |
| 1730739574 | Lindsay B Jordan | Occupational Therapy Assistant | 3417 Ne Marine Dr # Hb-02, Portland, OR 97211-2121 | 2019-09-13 |
| 1629622956 | Melanie Benson | Occupational Therapy Assistant | 290 N 3rd Ct Apt 4, Coos Bay, OR 97420-2465 | 2019-07-25 |
| 1871159301 | Kristen Bennett | Occupational Therapy Assistant | 1000 Se Stephens St, Roseburg, OR 97470-4818 | 2019-05-09 |
| 1851859748 | Vince Diamzon | Occupational Therapy Assistant | 70 Sw Century Dr Ste 100-107, Bend, OR 97702-3557 | 2019-03-09 |
| 1447722038 | Tabitha Edwards | Occupational Therapy Assistant | 1605 Oak St Se Apt A105, Albany, OR 97322-4702 | 2018-12-20 |
| 1497225254 | Rodney James Dean | Occupational Therapy Assistant | 66642 E Bay Rd Spc 76, North Bend, OR 97459-8290 | 2018-12-04 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.