Provider Demographics
NPI:1841209061
Name:JULIE HOGEN PMHNP LLC
Entity Type:Organization
Organization Name:JULIE HOGEN PMHNP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PMHNP
Authorized Official - Prefix:MRS
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:LURA
Authorized Official - Last Name:HOGEN
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP
Authorized Official - Phone:503-620-3200
Mailing Address - Street 1:6950 SW HAMPTON STREET
Mailing Address - Street 2:#109
Mailing Address - City:TIGARD
Mailing Address - State:OR
Mailing Address - Zip Code:97223-8330
Mailing Address - Country:US
Mailing Address - Phone:503-620-3200
Mailing Address - Fax:503-670-7888
Practice Address - Street 1:6950 SW HAMPTON STREET
Practice Address - Street 2:#109
Practice Address - City:TIGARD
Practice Address - State:OR
Practice Address - Zip Code:97223-8330
Practice Address - Country:US
Practice Address - Phone:503-620-3200
Practice Address - Fax:503-670-7888
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-05
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR336739-97OtherLLC
OR336739-97OtherLLC