Kennecke, Hagen

Kennecke, Hagen is an individual health care provider with primary practice located at 1130 Nw 22Nd Ave Ste 150 , Portland OR 97210-2974. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology & Oncology, Allopathic & Osteopathic Physicians / Medical Oncology. Allopathic & Osteopathic Physicians / Medical Oncology is his primary health care specialty. Kennecke, Hagen can be contacted via phone (971) 262-9600.

Contact Information

Primary practice address
1130 Nw 22Nd Ave Ste 150 Portland OR 97210-2974
Phone: (971) 262-9600
Fax: (971) 262-9601
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 60729732 Washington
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X MD203393 Oregon

Profile Details

NPI number 1578090270
LBN Legal business name Kennecke, Hagen
Credentials MD, MHA, FRCPC
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2017
Last updated Feb 6th, 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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