Individual
BRYAN HARTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
711 SW RAMSEY AVE, GRANTS PASS, OR 97527-5500
(541) 956-5463
Mailing address
715 SW RAMSEY AVE, GRANTS PASS, OR 97527-5500
(541) 956-5463
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
201400808RN
OR
Other
Enumeration date
03/26/2015
Last updated
03/26/2015
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