IndividualActive
Hagen Kennecke, MD, MHA, FRCPC
NPI 1578090270 · Medical Oncology Physician · Portland, OR
Provider details
- NPI number
- 1578090270
- Entity type
- Individual
- Primary specialty
- Medical Oncology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD, MHA, FRCPC
- Sex
- Male
- Sole proprietor
- No
- License
- 60729732 (WA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
1130 Nw 22nd Ave Ste 150
Portland, OR 97210-2974
Phone: (971) 262-9600
Fax: (971) 262-9601
Approximate (ZIP-level) locationGet directions
Mailing address
1400 Sw 5th Ave Ste 500
Portland, OR 97201-5537
Additional practice locations (1)
- 1100 9th AvenueVirginia Mason Medical CenterSeattle, WA 98101-2756Phone: (206) 515-5811
Registry dates
- Enumerated
- 2017-05-12
- Last updated
- 2024-02-06
- Certified
- 2024-02-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.