Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Mark Allen Hathaway

Individual provider Private Vehicle · NPI 1942517131

Mr. Mark Allen Hathaway is a Private Vehicle in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2010
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Practice location Address checks out

833 SW 11th Ave Ste 428
Portland, OR 97205-2125
Phone: (503) 228-1510
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Private Vehicle (primary) Taxonomy 347C00000X · Licence 3831943 (OR)

Record details

NPI number1942517131
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 9, 2010
Last updated in NPPESSeptember 9, 2010