Individual provider · Type 1 NPI

Jerith M. Hart, CNA 2 QMHA

Student in an Organized Health Care Education/Training Program · Gresham, OR

NPI number 1275466104 Active

Practice location

4101 NE Division St
Gresham, OR 97030-4617

Call (503) 666-6575 Map

Mailing address

3743 SE Cesar E Chavez Blvd
Portland, OR 97202-1790

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1275466104

Jerith M. Hart, CNA 2 QMHA's National Provider Identifier is 1275466104, issued on Jun 8, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Gresham, OR. The record was last updated on Jun 8, 2026.