Provider Demographics
NPI:1740006659
Name:HATLEY, MEGAN N (CD(DONA), CCMA)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:N
Last Name:HATLEY
Suffix:
Gender:F
Credentials:CD(DONA), CCMA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:724 SW 3RD ST
Mailing Address - Street 2:
Mailing Address - City:PENDLETON
Mailing Address - State:OR
Mailing Address - Zip Code:97801-2910
Mailing Address - Country:US
Mailing Address - Phone:541-310-9268
Mailing Address - Fax:
Practice Address - Street 1:724 SW 3RD ST
Practice Address - Street 2:
Practice Address - City:PENDLETON
Practice Address - State:OR
Practice Address - Zip Code:97801-2910
Practice Address - Country:US
Practice Address - Phone:541-310-9268
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-25
Last Update Date:2024-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula