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General NPI Number Information
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NPI Number | 1356492979
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Entity Type | Individual
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Provider Name | PETER W HATCHER MD
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Gender | Male
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Dates
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Enumeration Date | 01/12/2007
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Last Update Date | 05/19/2011
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Provider Practice Location Address
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Address Line | 2020 SE 182ND AVE
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City | PORTLAND
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State | OR
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Zip | 97233-5692
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Country | US
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Telephone | 503-988-5400
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Fax |
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Provider Business Mailing Address
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Address Line | 421 SW OAK ST 210
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City | PORTLAND
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State | OR
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Zip | 97204-1817
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Country | US
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Telephone | 503-988-5304
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Fax | 503-988-5305
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD20033
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License Number State | OR
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