| Doctor Name: | WILLIAM WALLACE HAGAN |
| NPI Number: | 1861789562 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPT |
| License Number: | PT010281 |
| Business Practice Address: | 1400 W Washington St Ste. 102 Sequim, WA - 983823236 |
| Business Phone Number: | 3606833710 |
| Business Fax Number: | 3606835256 |
| Mailing Address: | 16083 Sw Upper Boones Ferry Rd, Ste. 300 TIGARD |
| State: | OR |
| Postal Code: | 972247736 |
| Phone Number: | 8002198835 |
| Fax Number: | |
| NPI Enumeration Date: | 07/01/2011 |
| NPI Last Update Date: | 10/31/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT010281 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | GA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |