Individual
ANDREA S HATCHETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5125 SKYLINE RD S, SALEM, OR 97306-9413
(844) 549-0600
Mailing address
500 NE MULTNOMAH ST STE 100, PORTLAND, OR 97232-2099
(800) 813-2000
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
MD.MD.60650133
WA
208800000X
Urology Physician
Primary
MD167154
OR
208800000X
Urology Physician
Primary
N6479
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
216780101
—
TX
05
—
216780102
—
TX
05
—
216780103
—
TX
01
—
BP1-0027249
INSTITUTIONAL PERMIT
—
Enumeration date
06/13/2007
Last updated
07/20/2026
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