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Nicholas D Hagen, DPT,SCS,CSCS
Sports Physical Therapist in Bend, Oregon
NPI 1609104496

Nicholas D Hagen is a Sports Physical Therapist based in Bend, OR and is specialized in Sports. Nicholas D Hagen practices in Bend, OR and has the professional credentials of DPT,SCS,CSCS. The NPI Number for Nicholas D Hagen is 1609104496 and holds a License No. 6856 (Oregon).

The current practice location address for Nicholas D Hagen is 1160 Sw Simpson Ave, Bend, OR and can be reached out via phone at 541-322-9045 and via fax at 541-322-9044. You can also correspond with Nicholas D Hagen through the mailing address at 805 SW INDUSTRIAL WAY, BEND, OR - 97702-1093 (mailing address contact number: 541-585-2529).

Location: 1160 Sw Simpson Ave, Bend, OR, 97702-1093
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609104496
Provider Name
Nicholas D Hagen
Credential
DPT,SCS,CSCS
Provider Entity Type
Individual
Gender
Male
Address
1160 Sw Simpson Ave, Bend, OR, 97702-1093
Phone Number
541-322-9045
Fax Number
541-322-9044
Provider Enumeration Date
12/07/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500695874 05 OR
institution
Provider Business Practice Location Address Details
Address
1160 Sw Simpson Ave
City
Bend
State
Oregon
Zip
97702
Phone Number
541-322-9045
Fax Number
541-322-9044
person
Provider Business Mailing Address Details
Address
805 Sw Industrial Way
City
Bend
State
Oregon
Zip
97702-1093
Phone Number
541-585-2529
Fax Number
541-585-2536
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Sports
Taxonomy
2251S0007X
License No.
6856 (Oregon)
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, pathology and pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medical and surgical consideration, injury prevention, and sports performance enhancement.
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