EDWARD HAGEN

PORTLAND, OR
NPI1861590846
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: OR  D3960)
Enumeration Date2006-09-21
Last Update Date2008-11-04
Business Address
Dr. EDWARD HAGEN
620 SOUTHEAST 160TH AVE SUITE D
PORTLAND, OR 97236
Phone number: 503-252-9527
Mailing Address
Dr. EDWARD HAGEN
620 SOUTHEAST 160TH AVE
PORTLAND, OR 97233
Phone number: 503-525-9527