Individual
DONNA MARIE HARTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2191 MARION ST, NORTH BEND, OR 97459-2314
(541) 756-8002
Mailing address
2191 MARION ST, NORTH BEND, OR 97459-2314
(541) 756-8002
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4000
AK
Other
Enumeration date
05/18/2022
Last updated
05/18/2022
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