Whalio Doctors

NPI 1073609640

Mark Thomas Hastings, DPM

Practitioner Podiatrist Lake Oswego, OR

Practice location

Address
16316 Bryant Rd, Lake Oswego, OR 97035-4308
Phone
(503) 699-8220
Fax
(503) 699-7949

Registered specialties

Podiatrist Primary
Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X Licence DP00284 (OR)

Registry record

NPI
1073609640
Entity type
Individual
Sex (as registered)
Male
NPI issued
4 Oct 2006
Record last updated
8 Mar 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.