Individual
MARTHA JO HARTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH, BS, EPDH
Contact information
Practice address
6665 W BURNSIDE RD, UNIT # 432, PORTLAND, OR 97210-6665
(303) 550-1065
Mailing address
6665 W BURNSIDE RD, UNIT # 432, PORTLAND, OR 97210-6665
(303) 550-1065
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
905849
CO
124Q00000X
Dental Hygienist
H5669
OR
Other
Enumeration date
06/17/2010
Last updated
06/17/2013
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