Individual provider · Type 1 NPI

Kerith J. Hartmann, PA-C

Medical Physician Assistant · Portland, OR

NPI number 1780178079 Active

Practice location

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011

Call (503) 494-8311 Map

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA196722 (OR)
Medical Physician Assistant Primary 363AM0700XPA196722 (OR)

Medical Physician Assistant: Definition to come...

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About NPI 1780178079

Kerith J. Hartmann, PA-C's National Provider Identifier is 1780178079, issued on Jun 19, 2018. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Portland, OR. The record was last updated on Dec 18, 2020.