Individual
MATTHEW HATLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2478 13TH ST. SE, SALEM, OR 97302-2546
(503) 362-2481
(503) 375-8700
Mailing address
2478 13TH ST. SE, SALEM, OR 97302-2546
(503) 362-2481
(503) 375-8700
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
78003
GA
208000000X
Pediatrics Physician
MD189218
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500745664
—
OR
Enumeration date
06/04/2012
Last updated
09/19/2019
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