Hathaway, Randy

Hathaway, Randy is an individual health care provider with primary practice located at 401 E 3Rd St Suit 101, The Dalles OR 97058-2562. He recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as his primary health care specialty. Hathaway, Randy can be contacted via phone (503) 369-4049.

Contact Information

Primary practice address
401 E 3Rd St Suit 101 The Dalles OR 97058-2562
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X Oregon

Profile Details

NPI number 1811444615
LBN Legal business name Hathaway, Randy
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2016
Last updated Sep 9th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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