Individual provider · Type 1 NPI

Nicole Christine Hakenson, PA-C

Physician Assistant · Medford, OR

NPI number 1528738069 Active

Practice location

965 Ellendale Dr
Medford, OR 97504-8215

Mailing address

PO Box 31001
Pasadena, CA 91110-4180

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA215360 (OR)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1528738069

Nicole Christine Hakenson, PA-C's National Provider Identifier is 1528738069, issued on Sep 16, 2021. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Medford, OR. The record was last updated on Aug 20, 2026.