Individual
BRANDON MATTHEW HAYES-LATTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, MAILCODE L586, PORTLAND, OR 97239-3011
(503) 494-8534
(503) 494-3257
Mailing address
3181 SW SAM JACKSON PARK RD, MAILCODE L586, PORTLAND, OR 97239-3011
(503) 494-8534
(503) 494-3257
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
Primary
MD21354
OR
207RX0202X
Medical Oncology Physician
MD21354
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
297535
—
OR
Enumeration date
07/31/2006
Last updated
01/03/2017
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