Christopher Hatlestad, MD, PC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

MD24066 Issued in OR

Legal business name

CHRISTOPHER HATLESTAD, MD, PC

Practice address

1221 SE Madison St
Portland, OR 97214-3890

Phone

(503) 212-4488

Fax

(503) 212-4495

NPI assigned

Jun 28, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Christopher Lien Hatlestad, MD

Title

President

Phone

(541) 948-0303

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1435449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447718400000",
    "number": "1083096929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 SE MADISON ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972143890",
            "telephone_number": "503-212-4488",
            "fax_number": "503-212-4495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 SE MADISON ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972143890",
            "telephone_number": "503-212-4488",
            "fax_number": "503-212-4495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTOPHER HATLESTAD, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-28",
        "last_updated": "2015-11-17",
        "status": "A",
        "authorized_official_last_name": "HATLESTAD",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "LIEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-948-0303",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "OR",
            "license": "MD24066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachery R Christoff, RPH
• Julia Christofferson
• Christopher a Hargunani MD LLC
• Christopher Allen PH.D.
• Christopher Brady DMD LLC
• Christopher Huffine PSYD
• Christopher N Lim,MD PC
• Christopher S. Seuferling DPM PC
• Andrna Erica Christopher, NP
• Colin Warren Christopher, QMHP

• Primary Care Clinic/Center in Portland, OR
• Providers in Portland, OR by specialty
• Primary Care Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.