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:
Health care specialties
Specialty | Code | License # | 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 7 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1851306351 | NPPES |
Oregon | MEDICAID | 297535 |
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