Organization
CHRISTOPHER HATLESTAD, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER LIEN HATLESTAD MD (PRESIDENT)
(541) 948-0303
Entity
Organization
Contact information
Practice address
1221 SE MADISON ST, PORTLAND, OR 97214-3890
(503) 212-4488
(503) 212-4495
Mailing address
1221 SE MADISON ST, PORTLAND, OR 97214-3890
(503) 212-4488
(503) 212-4495
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
MD24066
OR
Other
Enumeration date
06/28/2015
Last updated
11/17/2015
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