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Individual

URSULA S HARTMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
231 SCALEHOUSE LOOP STE 204, BEND, OR 97702-1277
(458) 836-8410
Mailing address
PO BOX 5551, BEND, OR 97708-5551
(458) 836-8410

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C4953
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500760138
OR
Enumeration date
02/19/2019
Last updated
01/26/2025
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