Healthcare Provider Details

I. General information

NPI: 1962837260
Provider Name (Legal Business Name): OLIVIA HAGLUND MA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/05/2013
Last Update Date: 02/06/2025
Certification Date: 02/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3610 EMERALD ST
EUGENE OR
97405-4329
US

IV. Provider business mailing address

PO BOX 812
EUGENE OR
97440-0812
US

V. Phone/Fax

Practice location:
  • Phone: 541-200-0196
  • Fax:
Mailing address:
  • Phone: 541-200-0196
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: