Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BREANA NICOLE HAGEN-ORTIZ, BS, BIS
Active Sole ProprietorBREANA NICOLE HAGEN-ORTIZ, BS, BIS is a Community/Behavioral Health healthcare provider located in CLARKSTON, Washington. NPI 1891537411 is currently active in the NPPES registry. Verify at CMS.
Community/Behavioral Health · CLARKSTON, WA
Registration Details
- NPI Number
- 1891537411
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 12, 2024 (2.2032128743501 yrs)
- Last Updated
- Jun 12, 2024
- Sole Proprietor
- Yes
Practice Information
- Address
-
1620 CHESTNUT ST APT BCLARKSTON, WA, 994031155Browse WA providers · Browse ZIP 99403
- Phone
- 2083106682
- Primary Specialty
-
Community/Behavioral Health
251S00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.