IndividualActive
Mark Hathaway
NPI 1942517131 · Private Vehicle · Portland, OR
Provider details
- NPI number
- 1942517131
- Entity type
- Individual
- Primary specialty
- Private VehicleTransportation Services
- Sex
- Male
- Sole proprietor
- Yes
- License
- 3831943 (OR)
Specialties & taxonomies
Transportation Services
Practice location
833 Sw 11th Ave
Suite 428
Portland, OR 97205-2125
Phone: (503) 228-1510
Approximate (ZIP-level) locationGet directions
Mailing address
833 Sw 11th Ave
Portland, OR 97205-2125
Registry dates
- Enumerated
- 2010-09-09
- Last updated
- 2010-09-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.