Charles Richard Hathaway in Portland - Orthopedic
Charles Richard Hathaway - NPI 1093896631
Charles Richard Hathaway is a Orthopedic in Portland, Oregon. Charles Richard Hathaway practices all healthcare services and medical treatments related to Orthopedic. The NPI Number for Charles Richard Hathaway is 1093896631. The last update date is 2023-11-09.
Charles Richard Hathaway's current location address is 10011 Se Division St, Portland, Oregon. You can contact this provider via phone number 5032562654 and fax number 5032562493. The mailing address for Charles Richard Hathaway is 10011 Se Division St, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles Richard Hathaway |
|---|---|
| Address | 10011 Se Division St, Portland, Oregon |
| Phone Number | 5032562654 |
| Fax Number | 5032562493 |
| Sole Proprietor | Y |
| Credentials | D.C |
NPI Number Detail
| NPI Number | 1093896631 |
|---|---|
| Provider Enumeration Date | 2006-10-18 |
| Last Updated Date | 2023-11-09 |
Provider Mailing Address Detail
| Address | 10011 Se Division St |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972661351 |
| Phone Number | 5032562654 |
| Fax Number | 5032562493 |
Provider's Primary Taxonomy Detail
| Speciality | Orthopedic |
|---|---|
| Taxonomy | 111Nx0800X |
| Licence No | 27-1248 |
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Definition: Chiropractic Orthopedics is defined as that branch of chiropractic medicine that includes the continued acquisition of knowledge relative to both normal functions and diseases of the human body as they relate to the bones, joints, capsules, discs, mu |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 20-1718201 | OR | TAX ID |
Post Comment/ Review Below
What is the unique identification code assigned to Charles Richard Hathaway by the Centers for Medicare & Medicaid Services?
The Charles Richard Hathaway has been issued the NPI (National Provider Identifier) 1093896631. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Charles Richard Hathaway's facilities are situated?
The facilities of Charles Richard Hathaway are physically located at the following address: 10011 Se Division St, Portland, OR, 972661351.
What is Charles Richard Hathaway's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Charles Richard Hathaway is Orthopedic, and the taxonomy code that classifies this field of practice is 111Nx0800X.
When did the Charles Richard Hathaway receive its 1093896631?
The Charles Richard Hathaway was issued its 1093896631 on 2006-10-18, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Charles Richard Hathaway last refreshed?
The information related to the Charles Richard Hathaway, including its address, specialty, and other relevant details, was last updated on 2023-11-09.