Individual
ROLAND HATHWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, QMHP
Contact information
Practice address
1193 PEARL ST, EUGENE, OR 97401-3521
(541) 343-1937
(541) 343-5875
Mailing address
1193 PEARL ST, EUGENE, OR 97401-3521
(541) 343-1937
(541) 343-5875
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C2048
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019047
—
OR
Enumeration date
12/08/2006
Last updated
12/11/2007
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