Organization
JACK HARTLEY MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACK HARTLEY MD (PRESIDENT)
(541) 548-7761
Entity
Organization
Contact information
Practice address
1523 NW CANAL BLVD STE 200, REDMOND, OR 97756-1340
(541) 548-7761
(541) 526-6554
Mailing address
1523 NW CANAL BLVD STE 200, REDMOND, OR 97756-1340
(541) 548-7761
(541) 526-6554
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD12789
OR
Other
Enumeration date
02/13/2007
Last updated
08/22/2020
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