Individual
CHARLES HARTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4301 NE TILLAMOOK ST, PORTLAND, OR 97213-1315
(503) 331-1322
(503) 331-1252
Mailing address
4301 NE TILLAMOOK ST, PORTLAND, OR 97213-1315
(503) 331-1322
(503) 331-1252
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D9319
OR
Other
Enumeration date
09/29/2009
Last updated
02/09/2016
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