Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Brian Donald Hagan, BS, COTAL

Individual provider Occupational Therapy Assistant · NPI 1679770572

Mr. Brian Donald Hagan, BS, COTAL is an Occupational Therapy Assistant in Tigard, Oregon. Licensed in Oregon and Washington. Registered with an NPI since 2007.

Licensed in
OR, WA
In the registry since
2007
Specialties on file
2
What do these letters mean?
BS — Bachelor of Science
An undergraduate science degree.

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Practice location Address checks out

14145 SW 105th Ave
Tigard, OR 97224-4808
Phone: (503) 961-4942
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 1008623 (OR)
Occupational Therapy Assistant Taxonomy 224Z00000X · Licence OCOOOO1012 (WA)

Record details

NPI number1679770572
Entity typeIndividual (Type 1)
GenderMale
Credentials BS , COTAL
Sole proprietorNo
NPI enumeratedJuly 3, 2007
Last updated in NPPESJuly 8, 2007

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