Organization · Type 2 NPI

Christopher Hatlestad, Md, PC

Primary Care Clinic/Center · Portland, OR

NPI number 1083096929 Active

Practice location

1221 SE Madison St
Portland, OR 97214-3890

Call (503) 212-4488 Map

Fax (503) 212-4495

Specialties and licenses

TaxonomyCodeLicense
Primary Care Clinic/Center Primary 261QP2300XMD24066 (OR)

Primary Care Clinic/Center: Definition to come...

17 other providers at this address

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About NPI 1083096929

Christopher Hatlestad, Md, PC's National Provider Identifier is 1083096929, issued on Jun 28, 2015. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Portland, OR. The record was last updated on Nov 17, 2015.