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Individual

DR. CHRISTOPHER LIEN HATLESTAD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
17685 65TH AVE, SUITE 300, LAKE OSWEGO, OR 97035-7800
(503) 747-2021
(503) 747-2802
Mailing address
1221 SE MADISON ST, SUITE 300, PORTLAND, OR 97214-3890
(503) 212-4488
(503) 212-4495

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD24066
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MD24066
MEDICAL LICENSE
OR
Enumeration date
07/19/2006
Last updated
03/07/2023
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