Healthcare Provider Details

I. General information

NPI: 1578676433
Provider Name (Legal Business Name): KATHERINE KEMPF HAGER LPC, MFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/16/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

910 CAPITOL ST NE
SALEM OR
97301-1201
US

IV. Provider business mailing address

PO BOX 12609
SALEM OR
97309-0609
US

V. Phone/Fax

Practice location:
  • Phone: 503-428-7211
  • Fax: 503-588-5439
Mailing address:
  • Phone: 503-428-7211
  • Fax: 503-588-5439

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberC1775
License Number StateOR
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMFC40497
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: