Organization
CHARLES U. HARTMAN DMD LLC
Active
Other names
portland dental center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES URIAH HARTMAN DMD (OWNER)
(503) 311-1322
Entity
Organization
Contact information
Practice address
4301 NE TILLAMOOK ST, PORTLAND, OR 97213-1315
(503) 331-1322
Mailing address
4301 NE TILLAMOOK ST, PORTLAND, OR 97213-1315
(503) 331-1322
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D9319
OR
Other
Enumeration date
12/09/2015
Last updated
12/09/2015
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