NPI 1295982023

Candace Marilyn Hagenauer, LMT

Practitioner Contractor Woodburn, OR

Practice location

Address: 561 Arthur St, Woodburn, OR 97071-4713
Phone: (503) 981-9344

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence 14682 (OR)

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Registry record

NPI: 1295982023
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Aug 2008
Record last updated: 22 Aug 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.