Individual
CHALESE MARIE HATHAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
13232 SE STARK ST, STE 3, PORTLAND, OR 97233-1573
(503) 256-2654
(503) 256-3493
Mailing address
13232 SE STARK ST, STE 3, PORTLAND, OR 97233-1573
(503) 256-2654
(503) 256-3493
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5154
OR
Other
Enumeration date
05/31/2013
Last updated
05/31/2013
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