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Individual

MR. CHARLES LEWIS HATCHER JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
BS

Contact information

Practice address
404 NW 23RD ST, CORVALLIS, OR 97330-5539
(541) 753-7801
(541) 753-7805
Mailing address
404 NW 23RD ST, CORVALLIS, OR 97330-5539
(541) 753-7801
(541) 753-7805

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary

Other

Enumeration date
09/05/2019
Last updated
09/05/2019
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