Individual
DR. MARK THOMAS HASTINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
16316 BRYANT RD, LAKE OSWEGO, OR 97035-4308
(503) 699-8220
(503) 699-7949
Mailing address
16316 BRYANT RD, LAKE OSWEGO, OR 97035-4308
(503) 699-8220
(503) 699-7949
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
DP00284
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
158759
—
OR
Enumeration date
10/04/2006
Last updated
03/08/2014
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