Individual
DR. CHARLES C. HARTNESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9205 SW BARNES RD, PORTLAND, OR 97225-6603
(503) 297-6334
(503) 297-2360
Mailing address
9340 SW BARNES RD, SUITE 202, PORTLAND, OR 97225-6623
(503) 297-6334
(503) 297-2360
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD13571
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
073320
—
OR
Enumeration date
10/11/2006
Last updated
07/08/2007
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