DR. EDWARD HAGEN JR.


Address: 620 Southeast 160th Ave, Suite D, Portland, OR 97236
Phone: 5032529527

DR. EDWARD HAGEN JR. (NPI# 1861590846) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1861590846
Entity Type Individual
Full Name DR. EDWARD HAGEN JR.
Practice Address 620 Southeast 160th Ave
Suite D
Portland
OR 97236
Mailing Address 620 Southeast 160th Ave
Portland
OR 97233
Practice Telephone 5032529527
Practice Fax Number 5032524516
Mailing Telephone 5035259527
Mailing Fax Number 5032524516
Enumeration Date 2006-09-21
Last Update Date 2008-11-04
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist D3960 OR Dental Providers

Other Providers EDWARD HAGEN

NPI Name Taxonomy Address Enumeration
1811359268 Edward Robert Hagen Student in an Organized Health Care Education/Training Program 747 Broadway, Suite Ww- 739, Seattle, WA 98122-4379 2016-03-24
1093745515 Edward M Hagen Optometrist 4 Garden Ctr, Suite 100, Broomfield, CO 80020-7026 2006-07-03
1689671331 Edward Paul Hagen Obstetrics & Gynecology 265 Griffin St E, Amery, WI 54001-1439 2005-07-07

Office Location

Street Address 620 SOUTHEAST 160TH AVE
SUITE D
City PORTLAND
State OR
Zip Code 97236

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1336650357 Wondmimu Edao Chako Registered Nurse 3708 Se 144th Avenue, Portland, OR 97236 2017-10-17
1881142388 John Ho Pharmacist 14700 Se Division St., Portland, OR 97236 2016-09-14
1306392527 Lori-ann Lima Nurse Practitioner Multnomah County Health Department- Mid Cty Health Ctr, 12710 Se Division St, Portland, OR 97236 2016-08-28
1982096202 Allan Fitzpatrick Beals-gibson Adult Companion 15602 Se Division St., Portland, OR 97236 2015-02-24
1386047132 Columbiacare Services Community Based Residential Treatment Facility, Mental Illness 3530 Se 136th Ave. #5, Portland, OR 97236 2014-10-07
1356750319 Kendra Harding Counselor 17214 Se Division Street, Portland, OR 97236 2014-08-04
1659790400 Nghia Tran Pharmacist 8438 Se 138th Dr, Portland, OR 97236 2014-04-09
1942623764 Laurel Katherine Hallock Koppelman Nurse Practitioner 12720 Se Division Street, Portland, OR 97236 2014-01-30
1982046249 Victoria D Lathrop Massage Therapist 17221 Se Divistion St S-21, Portland, OR 97236 2013-07-26
1669819694 Ariann Von Vaughn Dental Hygienist 18011 Se Pershing Ct, Portland, OR 97236 2013-05-31
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Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1598366064 Felipe Gregorio Flores Dentist 107 Shorecliff Dr, Portland, TX 78374-1459 2020-11-02
1972117588 Medical Teams International Dentist 14150 Sw Milton Ct, Portland, OR 97224-8024 2020-09-01
1255975561 Michigan Sleep Solutions LLC Dentist 8037 Abbey Rd., Portland, MI 48875-9774 2019-10-30
1073162699 Ryan Douglas Mccormick Dentist 3620 Se Powell Blvd Ste 200, Portland, OR 97202-1880 2019-09-06
1255989497 Owen Ritter Lund Dentist 4224 Ne Halsey St Ste 330, Portland, OR 97213-1568 2019-08-30
1023663119 Xiaochen Zhou Dentist 2824 Ne Wasco St Ste 200, Portland, OR 97232-1772 2019-08-06
1598223919 Portland Modern Dentistry Dentist 5175 Ne Martin Luther King Blvd Ste 110, Portland, OR 97211-3233 2019-03-05
1922571942 Rashmi, LLC Dentist 553 Portland Cobalt Rd Unit 1, Portland, CT 06480-1968 2019-01-03
1053891051 Waleed Almulla Dentist 8401 Ne Halsey St Ste 102, Portland, OR 97220-5670 2018-08-19
1558848333 Kelsey Mcevoy Dentist 11805 Nw Cedar Falls Dr Ste 101, Portland, OR 97229-2780 2018-07-24
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Competitor

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City PORTLAND
Zip Code 97236

Improve Information

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Dataset Information

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.

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