Christopher Lien Hatlestad, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD24066 Issued in OR

Practice address

17685 65TH Ave
Suite 300
Lake Oswego, OR 97035-7800

Phone

(503) 747-2021

Fax

(503) 747-2802

NPI assigned

Jul 19, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Chris Lien Hatlestad Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Firstcare Medical Foundation

  • Family Medicine Physician
  • Albany, OR
  • NPI 1740216498
  NPD (past)

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1922027770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 SE MADISON ST",
            "address_2": "SUITE 300",
            "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": "17685 65TH AVE",
            "address_2": "SUITE 300",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970357800",
            "telephone_number": "503-747-2021",
            "fax_number": "503-747-2802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATLESTAD",
        "first_name": "CHRISTOPHER",
        "middle_name": "LIEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD24066",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "MD24066",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRIS",
            "last_name": "HATLESTAD",
            "middle_name": "LIEN",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Lara Zel Hartman, LMT
• Elizabeth R Hartshorn, LPC INTERN
• James C. Harvey, MD
• Steven Anthony Hashiguchi, MD
• Mark Thomas Hastings, D.P.M.
• Lauren Gail Hawk, RN
• Elizabeth Hawkins, PHD, MPH
• Shauna Hay, MS
• Halie Quinn Haynes, RN
• Emilee Ann Hays

• Family Medicine Physician in Lake Oswego, OR
• Providers in Lake Oswego, OR by specialty
• Family Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.