Individual
DR. SHAWN R. HATHAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3680 NW SAMARITAN DR, CORVALLIS, OR 97330-3737
(541) 754-1278
(541) 754-1512
Mailing address
444 NW ELKS DR, CORVALLIS, OR 97330-3758
(541) 754-1150
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD23849
OR
Other
Enumeration date
06/11/2006
Last updated
01/12/2026
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