Dr NATHAN HANTKE is a male medical professional, specializing in Psychologist, Clinical. He graduated in 2014.
UNIVERSITY PROFESSIONAL SERVICES
3303 SW BOND AVE
PORTLAND
OR
972394501
Tel: 5034948573
| Npi | 1265883151 |
| Pac Id | 1052659505 |
| Professional Enrollment Id | I20190208001172 |
| Last Name | HANTKE |
| First Name | NATHAN |
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| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2014 |
| Primary Specialty | PSYCHOLOGIST, CLINICAL |
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| Organization Legal Name | UNIVERSITY PROFESSIONAL SERVICES |
| Group Practice Pac Id | 4880760107 |
| Number Of Group Practice Members | 1214 |
| Line 1 Street Address | 3303 SW BOND AVE |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | PORTLAND |
| State | OR |
| Zip Code | 972394501 |
| Phone Number | 5034948573 |
| Hospital Affiliation Ccn 1 | 380009 |
| Hospital Affiliation Lbn 1 | OHSU HOSPITAL |
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| Professional Accepts Medicare Assignment | Y |
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