Search › Oregon › 111N00000X
Chalese Hathaway, DC
NPI 1619314507 · on the registry since 2013
Practice
- Address
- 13232 Se Stark St
Ste 3
Portland, OR 97233 - Phone
- (503) 256-2654
- Fax
- (503) 256-3493
- Organisation at this address
- Life Guide N.W., Llc
Christian Apostolic Community House
Stark Medical Diagnostic Center, Inc
Portland Medical Diagnostic Center IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 111N00000X
111N00000X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2013-05-31
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon