institution
Christopher Hatlestad, Md, Pc
Primary Care Clinic/Center in Portland, Oregon
NPI 1083096929

Christopher Hatlestad, Md, Pc is a Primary Care Clinic/Center based in Portland, OR and is specialized in Primary Care. Christopher Hatlestad, Md, Pc practices in Portland, OR. The NPI Number for Christopher Hatlestad, Md, Pc is 1083096929 and holds a License No. MD24066 (Oregon).

The current practice location address for Christopher Hatlestad, Md, Pc is 1221 Se Madison St, Portland, OR and can be reached out via phone at 503-212-4488 and via fax at 503-212-4495. You can also correspond with Christopher Hatlestad, Md, Pc through the mailing address at 1221 SE MADISON ST, PORTLAND, OR - 97214-3890 (mailing address contact number: 503-212-4488).

Location: 1221 Se Madison St, Portland, OR, 97214-3890
institution
Provider Profile Details
NPI Number
1083096929
Provider Name
Christopher Hatlestad, Md, Pc
Credential
Provider Entity Type
Organization
Address
1221 Se Madison St, Portland, OR, 97214-3890
Phone Number
503-212-4488
Fax Number
503-212-4495
Provider Enumeration Date
06/28/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1221 Se Madison St
City
State
Zip
97214-3890
Phone Number
503-212-4488
Fax Number
503-212-4495
person
Provider Business Mailing Address Details
Address
1221 Se Madison St
City
State
Zip
97214-3890
Phone Number
503-212-4488
Fax Number
503-212-4495
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
MD24066 (Oregon)
Definition
Definition to come...
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