Randy Hathaway
NPI #1811444615 in The Dalles, Oregon
Provider Information
- NPI Number
- 1811444615
- Entity Type
- Individual
- Name
- Randy Hathaway
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker
- Enumeration Date
- Sep 9, 2016
- Last Updated
- Sep 9, 2016
Practice Location
- Address
- 401 E 3RD ST
- Address 2
- SUIT 101
- City
- The Dalles
- State
- Oregon
- ZIP Code
- 97058-2562
- Phone
- (503) 369-4049
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker |
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