Provider Demographics
NPI:1760513592
Name:HAGER, MORGAINE DONNA (ND)
Entity Type:Individual
Prefix:DR
First Name:MORGAINE
Middle Name:DONNA
Last Name:HAGER
Suffix:
Gender:F
Credentials:ND
Other - Prefix:DR
Other - First Name:MORGAINE
Other - Middle Name:D
Other - Last Name:HAGER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:ND
Mailing Address - Street 1:11511 98TH AVE SW
Mailing Address - Street 2:
Mailing Address - City:VASHON
Mailing Address - State:WA
Mailing Address - Zip Code:98070-3213
Mailing Address - Country:US
Mailing Address - Phone:360-299-2184
Mailing Address - Fax:360-588-4196
Practice Address - Street 1:11511 98TH AVE SW
Practice Address - Street 2:
Practice Address - City:VASHON
Practice Address - State:WA
Practice Address - Zip Code:98070-3213
Practice Address - Country:US
Practice Address - Phone:360-299-2184
Practice Address - Fax:360-588-4196
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-07
Last Update Date:2022-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT00000841175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath