Individual
MS. LINDA HATCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
375 NW BEAVER ST, PRINEVILLE, OR 97754-1802
(541) 447-0707
(541) 447-0708
Mailing address
600 SW COLUMBIA ST, STE 6210, BEND, OR 97702-1099
(541) 383-3005
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
088006723N1-FNP-PP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
182960
—
OR
01
—
804845001
BLUE CROSS BLUE SHIELD
OR
01
—
H682402
PACIFIC SOURCE HEALTH PLA
OR
01
—
H682410
PACIFIC SOURCE HEALTH PLA
OR
Enumeration date
08/09/2006
Last updated
01/30/2023
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