Organization · Type 2 NPI

Jack Hartley MD PC

Specialist · Redmond, OR

NPI number 1689716680 Active

Practice location

1523 NW Canal Blvd Ste 200
Redmond, OR 97756-1340

Fax (541) 526-6554

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XMD12789 (OR)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1689716680

Jack Hartley MD PC's National Provider Identifier is 1689716680, issued on Feb 13, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Redmond, OR. The record was last updated on Aug 22, 2020.