Hayes-Lattin, Brandon Matthew

Hayes-Lattin, Brandon Matthew is an individual health care provider with primary practice located at 3181 Sw Sam Jackson Park Rd Mailcode L586, Portland OR 97239-3011. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology, Allopathic & Osteopathic Physicians / Medical Oncology. Allopathic & Osteopathic Physicians / Hematology is his primary health care specialty. Hayes-Lattin, Brandon Matthew can be contacted via phone (503) 494-8534.

Contact Information

Primary practice address
3181 Sw Sam Jackson Park Rd Mailcode L586 Portland OR 97239-3011
Phone: (503) 494-8534
Fax: (503) 494-3257
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology 207RH0000X MD21354 Oregon
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X MD21354 Oregon

Profile Details

NPI number 1851306351
LBN Legal business name Hayes-Lattin, Brandon Matthew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2006
Last updated Jan 3rd, 2017 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1851306351 NPPES
Oregon MEDICAID 297535

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