Hagen, Amanda Louise

Hagen, Amanda Louise is an sole proprietor health care provider with primary practice located at 310 N School St , Newberg OR 97132-2627. She recently has only one registered license in Nursing Service Related Providers / Doula, which is considered as her primary health care specialty. Hagen, Amanda Louise can be contacted via phone (503) 744-7557.

Contact Information

Primary practice address
310 N School St Newberg OR 97132-2627
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Doula 374J00000X THW000111511 Oregon

Profile Details

NPI number 1700620838
LBN Legal business name Hagen, Amanda Louise
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 24th, 2024
Last updated Jun 24th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700620838 NPPES
Oregon Other THW000111511 OREGON HEALTH AUTHORITY THW

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