MR. MARK HATHAWAY

Private Vehicle

Active Individual
NPI: 1942517131

Practice Address

833 SW 11TH AVE
SUITE 428
Portland, OR 97205

Phone: (503) 228-1510

Specialties

Specialty Code Primary License
Private Vehicle 347C00000X Yes 3831943 (OR)

Frequently Asked Questions

NPI 1942517131 is the National Provider Identifier for MR. MARK HATHAWAY, a Private Vehicle provider located in Portland, OR. This NPI was enumerated on September 9, 2010.
MR. MARK HATHAWAY practices at 833 SW 11TH AVE, SUITE 428, Portland, OR 97205.

Quick Facts

NPI
1942517131
Type
Individual
Enumerated
Sep 9, 2010
Last Updated
Sep 9, 2010

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