TIM JOHN HAGGE

PORTLAND, OR
NPI1073953014
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: OR  L2408)
Enumeration Date2013-07-03
Last Update Date2013-07-03
Business Address
-- TIM JOHN HAGGE LCSW
818 NW 17TH AVE SUITE 10
PORTLAND, OR 97209-2327
Phone number: 503-309-3978
Mailing Address
-- TIM JOHN HAGGE LCSW
7010 SW 63RD AVE
PORTLAND, OR 97219-1180
Phone number: 503-309-3978