DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. MARK ALLEN HATHAWAY

Active Sole Proprietor

MR. MARK ALLEN HATHAWAY is a Private Vehicle healthcare provider located in PORTLAND, Oregon. NPI 1942517131 is currently active in the NPPES registry. Verify at CMS.

Private Vehicle · PORTLAND, OR

Registration Details

NPI Number
1942517131
Provider Type
Individual
Gender
Male
NPI Issued
Sep 9, 2010 (15.743102504894 yrs)
Last Updated
Sep 9, 2010
License
3831943 (OR)
Sole Proprietor
Yes

Practice Information

Address
833 SW 11TH AVE
SUITE 428
PORTLAND, OR, 972052125
Browse OR providers · Browse ZIP 97205
Phone
5032281510
Primary Specialty
Private Vehicle
347C00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.