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:
Health care specialties
Specialty | Code | License # | 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 7 months 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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