| Bradley Christopher Hagen, ARNP, FNP | |
|
418 W. Main Avenue, Brewster, WA 98812 | |
| (509) 689-8900 | |
| (509) 689-9031 |
| Full Name | Bradley Christopher Hagen |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 418 W. Main Avenue, Brewster, Washington |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184663973 | NPI | - | NPPES |
| AP30003371 | Other | WA | STATE LICENSE |
| 0293305 | Other | WA | L&I |
| 1184663973 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 091006932N1 (Oregon) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Bradley Christopher Hagen, ARNP, FNP 1390 Biddle Rd, Ste 101, Medford, OR 97504-4169 Ph: () - | Bradley Christopher Hagen, ARNP, FNP 418 W. Main Avenue, Brewster, WA 98812 Ph: (509) 689-8900 |
Victoria Malloch Desalvo, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 520 W Indian Ave, Brewster, WA 98812 Phone: 509-689-2525 Fax: 509-689-3247 | |
Jamie R Descoteaux, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 520 W Indian Ave, Brewster, WA 98812 Phone: 509-689-2525 Fax: 509-689-3247 | |
Grace Rebecca Larsen, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 418 Main St., Brewster, WA 98812 Phone: 509-689-8900 |