IndividualActive
Nicholas Hagen, DPT, SCS, CSCS
NPI 1609104496 · Sports Physical Therapist · Bend, OR
Provider details
- NPI number
- 1609104496
- Entity type
- Individual
- Primary specialty
- Sports Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- DPT, SCS, CSCS
- Sex
- Male
- Sole proprietor
- No
- License
- 6856 (OR)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1160 Sw Simpson Ave
Ste 200
Bend, OR 97702
Phone: (541) 322-9045
Fax: (541) 322-9044
Approximate (ZIP-level) locationGet directions
Mailing address
805 Sw Industrial Way
Bend, OR 97702-1093
Registry dates
- Enumerated
- 2009-12-07
- Last updated
- 2016-03-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.