HAGEN KENNECKE MD, MHA, FRCPC – NPI #1578090270
Internal Medicine

An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.

Health Care Provider Taxonomy Code for Internal Medicine

HAGEN KENNECKE is a physician located in PORTLAND, OR. NPPES has assigned the NPI number 1578090270 to HAGEN KENNECKE on May 12, 2017. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RX0202X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Medical Oncology

The NPI profile was previously updated about 2 years ago on Feb 06, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for HAGEN KENNECKE below.

NPI Profile for
HAGEN KENNECKE

NPI Number
1578090270
Enumeration Date

(more than 9 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
HAGEN KENNECKE
Credentials
MD, MHA, FRCPC
Primary location
1130 NW 22ND AVE STE 150
PORTLAND, OR 97210-2974
Phone: (971) 262-9600 Fax: (971) 262-9601
1 Other location(s):
1100 9th Avenue
Virginia Mason Medical Center
Seattle, WA 98101-2756
Phone: (206) 515-5811
Mailing address
1400 SW 5TH AVE STE 500
PORTLAND, OR 97201-5537
Phone: (866) 617-6855 Fax: (503) 346-8015
Sole Proprietor
No
Updated
Certification Date
Feb 06, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RX0202X
- Internal Medicine / Medical Oncology (Primary)		 OR MD203393
207RH0003X
- Internal Medicine / Hematology & Oncology		 WA 60729732

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
4805 NE GLISAN ST STE 11N,
PORTLAND, OR 77025-1669

Additional Information

Education
DALHOUSIE UNIVERSITY, FACULTY OF MEDICINE - Graduated 1997
Offers Telehealth Services
Yes - Telehealth services allows you to talk to your health care provider using audio/video communications, such as Zoom, without actually going in to the doctor's office
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
HAGEN KENNECKE is affiliated with the following medical group(s):
  • HOSPITAL
    • PROVIDENCE PORTLAND MEDICAL CENTER
      4805 NE GLISAN STREET
      PORTLAND, OR 97213
    • PROVIDENCE ST VINCENT MEDICAL CENTER
      9205 SW BARNES ROAD
      PORTLAND, OR 97225
  • HOSPICE
    • PROVIDENCE HOSPICE
      6410 NE HALSEY STREET, SUITE 300
      PORTLAND, OR 97213

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.