Individual provider · Type 1 NPI

Benjamin J. Hartwig, AGACNP

Acute Care Nurse Practitioner · Portland, OR

NPI number 1578008397 Active

Practice location

4400 NE Halsey St Ste 102
Portland, OR 97213-1545

Mailing address

PO Box 3158
Portland, OR 97208-3158

Other practice locations

  • 1111 NE 99th Ave Ste 201, Portland, OR 97220-9442 · (503) 962-1000

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner 363LG0600X201706637NP-PP (OR)
Acute Care Nurse Practitioner Primary 363LA2100X201706637NP-PP (OR)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1578008397

Benjamin J. Hartwig, AGACNP's National Provider Identifier is 1578008397, issued on Jan 3, 2017. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Portland, OR. The record was last updated on Jun 20, 2023.