Most Relevant Information
Provider Data
| NPI Number: | 1003495524 |
| Provider Name: | LORA MICHELLE HATTAWAY |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/02/2021 |
| Last Updated: | 04/02/2021 |
Provider Practice Location
331 SE 2ND ST
PENDLETON
OR
978012224
Practice Location Phone/Fax
| Phone: | 5412766207 |
| Fax: | 5412764628 |
Provider Mailing Location
702 SUNSET DR
ONTARIO
OR
979143121
Provider Mailing Phone/Fax
| Phone: | 5418899167 |
| Fax: | 5418897873 |