Individual
DR. SAMUEL ADEN HIRTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
870 S FRONT ST, STE 200, CENTRAL POINT, OR 97502-2779
(541) 664-3346
(541) 664-6051
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(541) 664-3346
(541) 664-6051
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO171203
OR
207Q00000X
Family Medicine Physician
OL60286768
WA
207Q00000X
Family Medicine Physician
OP60409596
WA
Other
Enumeration date
01/28/2008
Last updated
10/13/2020
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