Individual
MARK THOMAS HATTENHAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1615 DELAWARE ST, LONGVIEW, WA 98632-2367
(360) 414-2730
(360) 414-2739
Mailing address
PO BOX 3002, LONGVIEW, WA 98632-0302
(360) 414-2730
(360) 414-2739
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
MD00028883
WA
207RC0000X
Cardiovascular Disease Physician
Primary
MD07556
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
085084
—
OR
05
—
8563314
—
WA
Enumeration date
07/31/2006
Last updated
04/08/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us