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Individual

MRS. JILL MARIE HARTLEY

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1375 NW KINGSTON AVE, BEND, OR 97701-2242
(541) 383-5958
(541) 383-3016
Mailing address
1375 NW KINGSTON AVE, BEND, OR 97701-2242
(541) 383-5958
(541) 383-3016

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00807
OR

Other

Enumeration date
12/07/2005
Last updated
07/08/2007
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