Individual provider · Type 1 NPI

Mark Allen Hathaway

Private Vehicle · Portland, OR

NPI number 1942517131 Active

Practice location

833 SW 11th Ave, Suite 428
Portland, OR 97205-2125

Call (503) 228-1510 Map

Specialties and licenses

TaxonomyCodeLicense
Private Vehicle Primary 347C00000X3831943 (OR)

Private Vehicle: An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.

61 other providers at this address

About NPI 1942517131

Mark Allen Hathaway's National Provider Identifier is 1942517131, issued on Sep 9, 2010. The primary taxonomy on file is Private Vehicle (347C00000X), and the practice location is in Portland, OR. The record was last updated on Sep 9, 2010.