Individual
SHELLEY R HARTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
995 WILLAGILLESPIE RD STE 100, EUGENE, OR 97401-2186
(541) 484-5437
Mailing address
995 WILLAGILLESPIE RD STE 100, EUGENE, OR 97401-2186
(541) 484-5437
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD19144
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
080213
—
OR
Enumeration date
08/15/2005
Last updated
06/22/2021
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