Provider Demographics
NPI:1184882623
Name:HATEGAN, LIANA FELICIA (MD)
Entity type:Individual
Prefix:DR
First Name:LIANA
Middle Name:FELICIA
Last Name:HATEGAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:3370 SW 192ND AVE
Mailing Address - Street 2:
Mailing Address - City:BEAVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97003-2346
Mailing Address - Country:US
Mailing Address - Phone:971-228-8672
Mailing Address - Fax:971-228-8673
Practice Address - Street 1:3370 SW 192ND AVE
Practice Address - Street 2:
Practice Address - City:BEAVERTON
Practice Address - State:OR
Practice Address - Zip Code:97003-2346
Practice Address - Country:US
Practice Address - Phone:971-228-8672
Practice Address - Fax:971-228-8673
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-31
Last Update Date:2021-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD280112084F0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084F0202XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyForensic Psychiatry