Hagen, Bradley Christopher

Hagen, Bradley Christopher is an individual health care provider with primary practice located at 418 W. Main Avenue , Brewster WA 98812. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Hagen, Bradley Christopher can be contacted via phone (509) 689-8900.

Contact Information

Primary practice address
418 W. Main Avenue Brewster WA 98812
Phone: (509) 689-8900
Fax: (509) 689-9031
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 091006932N1 Oregon

Profile Details

NPI number 1184663973
LBN Legal business name Hagen, Bradley Christopher
Credentials ARNP, FNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Mar 11th, 2021 - about 4 years ago

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 1184663973 NPPES
Washington Other AP30003371 STATE LICENSE
Washington Other 0293305 STATE LICENSE
Washington MEDICAID 1184663973 STATE LICENSE

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