# JEFFREY F HARTFORD MD

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- **Entity:** Organization
- **Status:** Active
- **Other names:** NORTHVIEW MEDICAL CLINIC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417151804
- **Authorized official:** KELLI ANNE RAY MA (MANAGER)
- **Authorized official phone:** (208) 376-8337

## Contact information

- **Practice address:** 8324 W NORTHVIEW STE 101, BOISE, ID 83704
- **Practice address phone:** (208) 376-8337
- **Practice address fax:** (208) 376-8344
- **Mailing address:** 8324 W NORTHVIEW STE 101, BOISE, ID 83704
- **Mailing address phone:** (208) 376-8337
- **Mailing address fax:** (208) 376-8344

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | M5269 | ID | — |
| 207Q00000X | Family Medicine Physician | M5269 | ID | Yes |

## Other

- **Enumeration date:** 06/12/2007
- **Last updated:** 03/13/2012
