| Liana Hategan Md Pc | |
|
3370 Sw 192nd Ave Beaverton OR 97003-2346 | |
| (971) 228-8672 | |
| (971) 228-8673 |
| Full Name | Liana Hategan Md Pc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 3370 Sw 192nd Ave, Beaverton, Oregon |
| Authorized Official Name and Position | Liana F Hategan (DIRECTOR) |
| Authorized Official Contact | 9712288672 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Liana Hategan Md Pc 3370 Sw 192nd Ave Beaverton OR 97003-2346 Ph: (971) 228-8672 | Liana Hategan Md Pc 3370 Sw 192nd Ave Beaverton OR 97003-2346 Ph: (971) 228-8672 |
| NPI Number | 1235442203 |
|---|---|
| Provider Enumeration Date | 07/20/2010 |
| Last Update Date | 01/06/2021 |
| Certification Date | 01/06/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235442203 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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