IndividualActive
Mark Hastings, D.P.M.
NPI 1073609640 · Podiatrist · Lake Oswego, OR
Provider details
- NPI number
- 1073609640
- Entity type
- Individual
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- D.P.M.
- Sex
- Male
- Sole proprietor
- No
- License
- DP00284 (OR)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Practice location
16316 Bryant Rd
Lake Oswego, OR 97035-4308
Phone: (503) 699-8220
Fax: (503) 699-7949
Approximate (ZIP-level) locationGet directions
Mailing address
16316 Bryant Rd
Lake Oswego, OR 97035-4308
Registry dates
- Enumerated
- 2006-10-04
- Last updated
- 2014-03-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.