Mark Hathaway

NPI 1942517131 · on the registry since 2010 · sole proprietor

Practice

Address: 833 Sw 11th Ave
Suite 428
Portland, OR 97205
Phone: (503) 228-1510
Organisation at this address: Triss Fifer Pc
Caring Pdx Llc
West End Dental
Colasurdodmd Llc
Burstein-Rose Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 69

Registry record

Primary taxonomy: 347C00000X
347C00000X
Licence states on file: OR
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2010-09-09

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