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Individual

JONATHAN HATTENHAUER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
10150 SE 32ND AVE, MILWAUKIE, OR 97222-6516
(503) 215-5895
Mailing address
PO BOX 31001-4180, PASADENA, CA 91110-4180
(503) 215-6494

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
DO203654
OR
207RG0100X
Gastroenterology Physician
OP61629049
WA

Other

Enumeration date
04/03/2015
Last updated
08/19/2025
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