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1073081873
LOGAN HAGEN
PORTLAND, OR
NPI
1073081873
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2018-11-09
Last Update Date
2018-11-09
Business Address
LOGAN HAGEN
1675 SW MARLOW AVE STE 200
PORTLAND, OR 97225-5102
Phone number: 510-679-3545
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Mailing Address
LOGAN HAGEN
2836 SE 125TH AVE
PORTLAND, OR 97236-3111
Phone number:
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