Doctor Name: | DR. THOMAS ROBERT HATCH |
NPI Number: | 1033197199 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | MD11989 |
Business Practice Address: | 19250 Sw 65th Ave Suite 250 Tualatin, OR - 970627452 |
Business Phone Number: | 5036926603 |
Business Fax Number: | 5036921266 |
Mailing Address: | 19250 Sw 65th Ave, Suite 250 TUALATIN |
State: | OR |
Postal Code: | 970627452 |
Phone Number: | 5036926603 |
Fax Number: | 5036921266 |
NPI Enumeration Date: | 01/08/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | MD11989 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |