OrganizationActive
Christopher Hatlestad, MD, PC
NPI 1083096929 · Primary Care Clinic/Center · Portland, OR
Provider details
- NPI number
- 1083096929
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Christopher Hatlestad, President(541) 948-0303
- License
- MD24066 (OR)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1221 Se Madison St
Portland, OR 97214-3890
Phone: (503) 212-4488
Fax: (503) 212-4495
Approximate (ZIP-level) locationGet directions
Mailing address
1221 Se Madison St
Portland, OR 97214-3890
Registry dates
- Enumerated
- 2015-06-28
- Last updated
- 2015-11-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.