Doctor Name: | TIMOTHY JOHN HATLEN |
NPI Number: | 1245673375 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 101 W 8th Ave Spokane, WA - 992042307 |
Business Phone Number: | 5094743022 |
Business Fax Number: | |
Mailing Address: | 3011 197th Ave Se, SAMMAMISH |
State: | WA |
Postal Code: | 980759655 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 04/08/2013 |
NPI Last Update Date: | 04/08/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |