CHRISTOPHER HATLESTAD, MD, PC (NPI# 1083096929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083096929 |
| Entity Type | Organization |
| Organization Name | CHRISTOPHER HATLESTAD, MD, PC |
| Practice Address |
1221 Se Madison St Portland OR 97214-3890 |
| Practice Telephone | 5032124488 |
| Practice Fax Number | 5032124495 |
| Mailing Telephone | 5032124488 |
| Mailing Fax Number | 5032124495 |
| Enumeration Date | 2015-06-28 |
| Last Update Date | 2015-11-17 |
| Authorized Official Name | DR. CHRISTOPHER LIEN HATLESTAD (PRESIDENT) |
| Authorized Official Telephone | 5419480303 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
MD24066 | OR | Ambulatory Health Care Facilities |
| Street Address |
1221 SE MADISON ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97214-3890 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710972724 | Stefan Michael Herold | Chiropractor | 1221 Se Madison St, Portland, OR 97214-3890 | 2005-09-15 |
| 1811442650 | Katharine Schuyler | Massage Therapist | 1221 Se Madison St, Portland, OR 97214-3890 | 2016-08-22 |
| 1578910410 | Sarah Grumbling | Massage Therapist | 1221 Se Madison St, Portland, OR 97214-3890 | 2016-05-20 |
| 1427469642 | Immersion Enterprises LLC | Acupuncturist | 1221 Se Madison St, Portland, OR 97214-3890 | 2014-05-09 |
| 1528408291 | Stephen Philip Levy | Acupuncturist | 1221 Se Madison St, Portland, OR 97214-3890 | 2013-06-26 |
| 1609126952 | Lorelynn Mirage Cardo | Counselor | 1221 Se Madison St, Portland, OR 97214-3890 | 2012-09-13 |
| 1902165715 | Cooper Leo Paradise Foulke | Health Educator | 1221 Se Madison St, Portland, OR 97214-3890 | 2012-05-14 |
| 1952677221 | Tamara Warren | Massage Therapist | 1221 Se Madison St, Portland, OR 97214-3890 | 2012-03-30 |
| 1235414657 | Thomas Spencer Leek Jr. | Massage Therapist | 1221 Se Madison St, Portland, OR 97214-3890 | 2011-10-17 |
| 1033499710 | David Forrest Wilburn | Acupuncturist | 1221 Se Madison St, Portland, OR 97214-3890 | 2011-08-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773155 | Mamie Nzigire Zagabe | Peer Specialist | 605 Se Cesar Estrada Chavez Blvd, Portland, OR 97214 | 2020-09-01 |
| 1336772243 | Alexandra Mcbryde | Acupuncturist | 959 Se Division St, #315, Portland, OR 97214 | 2020-02-19 |
| 1356973770 | Laura Kille | Counselor | Wise Counsel and Comfort, 2045 Se Hawthorne Blvd., Portland, OR 97214 | 2020-02-05 |
| 1639616436 | Erin Elizabeth Weaver | Acupuncturist | 1330 Se Cesar E Chavez Blvd. Center for Natural Meidici, Portland, OR 97214 | 2017-01-31 |
| 1780126045 | Katherine Aravamudan, Lpc, LLC | Community/Behavioral Health | 1312 E. Burnside Street, Portland, OR 97214 | 2016-11-17 |
| 1003358441 | Michelle Jean Meadows | Massage Therapist | 2804 Se Lincoln St, Portland, OR 97214 | 2016-11-16 |
| 1629429311 | Stephanie Tolentino | Counselor | 605 Se Cesar E Chavez Blvd., Portland, OR 97214 | 2016-06-24 |
| 1790141166 | Marian Iris Dixon | Massage Therapist | 3810 Se Belmont St., Earthbody Wellness Center East, Portland, OR 97214 | 2016-01-14 |
| 1194194589 | Lutheran Community Services Northwest | Community/Behavioral Health | 605 Se Cesar E Chavez Bld, Portland, OR 97214 | 2015-09-16 |
| 1497123566 | Michele R. Stokes | Specialist | 2311 East Burnside B1, Portland, OR 97214 | 2015-09-08 |
| Find all providers in zip 97214 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104447895 | Beyond Health LLC | Clinic/Center | 6440 Nw Mcmullen Ave, Portland, OR 97229-1158 | 2020-05-04 |
| 1831757475 | Structural Solutions Chiropractic | Clinic/Center | 121 Nw Everett St, Portland, OR 97209-4049 | 2019-05-29 |
| 1033674841 | Jeremy Mikolai Nd Inc | Clinic/Center | 2540 Ne M L King Blvd, Portland, OR 97212-3732 | 2019-02-06 |
| 1326531666 | Working Class Medicine LLC | Clinic/Center | 2133 N. Willis Blvd, Studio D, Portland, OR 97217 | 2018-06-12 |
| 1023511698 | Housecall Md LLC | Clinic/Center | 3715 Sw Marquam Hill Rd, Portland, OR 97239-1454 | 2018-03-09 |
| 1053859959 | Vera Whole Health | Clinic/Center | 400 Sw 6th Ave, Suite 915, Portland, OR 97204-1628 | 2017-02-10 |
| 1215390091 | The Wallace Medical Concern | Clinic/Center | 18139 Ne Couch Street, Portland, OR 97230 | 2016-03-30 |
| 1154725224 | Thriving Force, LLC | Clinic/Center | 4426 Ne 35th Ave, Portland, OR 97211-7735 | 2014-10-17 |
| 1679981070 | Roots Health Clinic LLC | Clinic/Center | 330 Ne 102nd Ave, Portland, OR 97220-4107 | 2014-07-29 |
| 1558792309 | North By Northeast Community Health Center | Clinic/Center | 3030 Ne Martin Luther King Jr Blvd, Portland, OR 97212-3053 | 2013-12-04 |
| Find all providers in PORTLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.