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1295717379
KERRY BRENT HAGEN
PORTLAND, OR
NPI
1295717379
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207W00000X Ophthalmology
(Licence: OR MD18505)
Enumeration Date
2005-11-15
Last Update Date
2009-11-17
Business Address
DR. KERRY BRENT HAGEN MD
1955 NW NORTHRUP ST
PORTLAND, OR 97209-1614
Phone number: 503-227-2020
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Mailing Address
DR. KERRY BRENT HAGEN MD
11086 SE OAK ST
MILWAUKIE, OR 97222-6692
Phone number: 503-557-2020
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