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Individual

ROBERT CARLOS HARTLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1077 GATEWAY LOOP, SPRINGFIELD, OR 97477-1114
(541) 485-6478
(541) 485-0452
Mailing address
3355 RIVERBEND DR STE 200, SPRINGFIELD, OR 97477-8800
(541) 485-6478
(541) 485-0452

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MD197826
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500780144
OR
Enumeration date
03/31/2015
Last updated
09/19/2023
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