Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Erin Marina Hagen, PA-C

Individual provider Dermatology Physician · NPI 1285300475

Erin Marina Hagen, PA-C is a Physician Assistant in Portland, Oregon. Qualified in 2021, 5 years ago. Practices with Peacehealth Networks on Demand LLC, a 201-clinician group and accepts Medicare assignment. Licensed in North Carolina and Oregon.

Years since qualifying
5
Licensed in
NC, OR
In the registry since
2021
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1662 NW 23rd Ave
Portland, OR 97210-2502
Phone: (503) 684-8252
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA212971 (OR)
Dermatology Physician Taxonomy 207N00000X · Licence 0010-11373 (NC)
Physician Assistant Taxonomy 363A00000X · Licence 0010-11373 (NC)

Record details

NPI number1285300475
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedAugust 18, 2021
Last updated in NPPESOctober 13, 2022
Certification dateOctober 13, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Peacehealth Networks On Demand Llc — 201 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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