Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1609818202 Individual Practitioner Male Practitioner

Dr. Shawn R. Hathaway , MD

Pediatrics • Corvallis, OR

Professional Overview & Biography Verified Profile Summary

Dr. Shawn Hathaway, MD is a registered healthcare professional specializing in Pediatrics in Corvallis, OR. Practice services are available at 3680 NW SAMARITAN DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3680 Nw Samaritan Dr

Corvallis, OR 973303737

Telephone 5417541278
Fax 5417541512
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Corvallis, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 20.9 Yrs
Regional Practice Density
31 Specialists

Practicing in Corvallis, OR (880 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-01-12
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License OR MD23849

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Holly Risch , RN, IBCLC, RLC

Registered Nurse - Lactation Consultant

NPI 1841400900

Registered Nurse, International Board Certified Lactation Consultant, RLC

NPI 1932181013

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location January 12, 2026

Registered at 3680 NW SAMARITAN DR, CORVALLIS, OR 973303737 (Tel: 5417541278)

📍
Updated Business Mailing Address January 12, 2026

Registered at 444 NW ELKS DR, CORVALLIS, OR 973303758 (Tel: 5417541150)

📍
Updated Business Mailing Address November 05, 2020

Registered at PO BOX 1189, CORVALLIS, OR 973391189

NPI Profile Active May 05, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location May 05, 2016

Registered at 777 NW 9TH ST, SUITE 320, CORVALLIS, OR 973306169 (Tel: 5417684900)

📍
Updated Business Mailing Address May 05, 2016

Registered at 777 NW 9TH ST, SUITE 320, CORVALLIS, OR 973306169 (Tel: 5417684900)

👤
Provider Name / Credentials Updated May 05, 2016

Recorded as SHAWN HATHAWAY, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 05, 2016

Pediatrics (License #MD23849 in OR)

🟢
Initial NPI Registration & Enumeration June 11, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Shawn Hathaway. Be the first to share your experience!

Sign in to leave a review for Dr. Shawn Hathaway

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1609818202
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 11, 2006
Last Update: January 12, 2026
Sole Proprietor: No

Mailing Address

444 Nw Elks Dr

Corvallis, OR 973303758

Phone: 5417541150

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.