DR. CHARLES RICHARD HATHAWAY (NPI# 1093896631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093896631 |
| Entity Type | Individual |
| Full Name | DR. CHARLES RICHARD HATHAWAY |
| Credential | D.C |
| Practice Address |
10011 Se Division St Suite 205 Portland OR 97266-1351 |
| Mailing Address |
10011 Se Division St Suite 209 Portland OR 97266-1351 |
| Practice Telephone | 5032562654 |
| Practice Fax Number | 5032562493 |
| Mailing Telephone | 5032562654 |
| Mailing Fax Number | 5032562493 |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2009-03-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NX0800X |
Chiropractor Specialization: Orthopedic |
27-1248 | OR | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | TAX ID | 20-1718201 | 01 |
| Street Address |
10011 SE DIVISION ST SUITE 205 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97266-1351 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578678983 | Jerry Wayne Leonard Sr. | Dentist | 10011 Se Division St, 204, Portland, OR 97266-1351 | 2006-08-19 |
| 1811342710 | Kristen S Miller | Psychologist | 10011 Se Division St, #203, Portland, OR 97266-1351 | 2016-04-28 |
| 1760837801 | Maria Mitchell | Counselor | 10011 Se Division St, #305, Portland, OR 97266-1351 | 2016-04-26 |
| 1659725620 | Carson Bortz | Counselor | 10011 Se Division St, #305, Portland, OR 97266-1351 | 2016-04-15 |
| 1659748507 | Heather Anne Tollander | Psychologist | 10011 Se Division St, Suite 203, Portland, OR 97266-1351 | 2015-08-26 |
| 1457727828 | Matthew M Block | Counselor | 10011 Se Division St, Suite 203, Portland, OR 97266-1351 | 2015-08-19 |
| 1720454689 | Tess O'neil Mcshane | Counselor | 10011 Se Division St, Suite #305, Portland, OR 97266-1351 | 2015-08-14 |
| 1699159293 | Elizabeth Kraemer | Case Manager/Care Coordinator | 10011 Se Division St, Portland, OR 97266-1351 | 2015-07-13 |
| 1003294323 | Elizabeth Gordon | Counselor | 10011 Se Division St, Ste 305, Portland, OR 97266-1351 | 2015-05-07 |
| 1356746101 | Mirna Pani | Counselor | 10011 Se Division St, #305, Portland, OR 97266-1351 | 2014-10-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528545969 | Willamette Pharmacy | Pharmacy | 10209 Se Division Build B Ste 100, Portland, OR 97266 | 2018-07-27 |
| 1992204697 | Sober Living Oregon Treatment Center | Clinic/Center | 10209 Se Division, Portland, OR 97266 | 2018-02-08 |
| 1699204024 | Malori Christine Butler | Registered Nurse | 7335 Se 85th Ave., Portland, OR 97266 | 2017-06-08 |
| 1487028882 | Emil Kunkel | Naturopath | 6318 Se 87th Ave, Portland, OR 97266 | 2015-11-23 |
| 1194195313 | Cory Hall-martin | Counselor | 10011 Se Division St #305, Portland, OR 97266 | 2015-09-30 |
| 1336517721 | Krispin Mayfield | Counselor | 10011 Se Division St., Suite 203, Portland, OR 97266 | 2015-09-02 |
| 1407247927 | Syrena Nicholson | Community Health Worker | 7721 Se 92nd Avenue, Apt K, Portland, OR 97266 | 2015-02-06 |
| 1659777886 | Berhanu Aynalem Mekbib | Adult Companion | 9125 Sw 55th, El Dorado, Portland, OR 97266 | 2014-11-17 |
| 1871930685 | Felicitas Amelia Penaloza | Behavioral Analyst | 9911 Se Mt.scott Boulevard, Portland, OR 97266 | 2013-06-03 |
| 1710237326 | Janna Renee Higgins | Case Manager/Care Coordinator | 9911 Se Mt. Scott Boulevard, Portland, OR 97266 | 2012-09-12 |
| Find all providers in zip 97266 | ||||
| Taxonomy Code | 111NX0800X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Orthopedic |
| 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, muscles, ligaments, tendons, their complete neurological and vascular components, referred organ systems and contiguous tissues. This also includes the development and perfection of skills relative to health maintenance when such exists and when not, the investigations, historical review, physical detection, correlative diagnosis development and complete management of any disorder within the bounds defined herein. Also necessary is the delivery of the combined knowledge and skill on a primary basis to patients who both need and desire this service to the eventual outcome of remissions, whenever resolution is not readily achievable. In addition the certified chiropractic orthopedist provides consultation services at the request of other qualified doctors seeking assistance in the care of their patients. The chiropractic orthopedist may also engage in the teaching and or research of subjects and materials relevant to pursuing the quest for knowledge in the ever changing field of the orthopedic specialty. |
| Notes: Source: American Chiropractic Association, 2008 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790050086 | Hayes Chiropractic P.C. | Chiropractor | 808 Stevens Ave, Portland, ME 04103-2623 | 2012-03-20 |
| 1861654972 | Lenore Susan Difiore | Chiropractor | 129 Alice St, Portland, ME 04103-2257 | 2008-06-30 |
| 1174732812 | Milton Earl Duncan | Chiropractor | 6026 Ne Sandy Blvd, Portland, OR 97213-3963 | 2007-05-21 |
| 1710004932 | Betsy J Mitchell | Chiropractor | 3701 Se Milwaukie Ave, Portland, OR 97202-3835 | 2007-03-23 |
| 1710036744 | Dana William Sibilla | Chiropractor | 1934 Ne Broadway St, Portland, OR 97232-1502 | 2007-01-09 |
| 1578501755 | Michael J. Burke | Chiropractor | 2526 Ne 15th Ave, Portland, OR 97212-4222 | 2006-06-02 |
| 1942299557 | George Alan Ulbrich | Chiropractor | 6422 Se Milwaukie Ave, Portland, OR 97202-5518 | 2005-10-17 |
| 1497303994 | Emily Welch | Chiropractor | 406 W Votaw St, Portland, IN 47371-1344 | 2019-08-28 |
| 1073040945 | Taylor Justine Mohr | Chiropractor | 13112 Ne Halsey St, Portland, OR 97230-2350 | 2017-05-22 |
| 1235302795 | Chiropractic Life Center PC | Chiropractor | 12762 Se Stark St, Plaza 125, Bldg D, Portland, OR 97233-1539 | 2008-04-04 |
| 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.