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Individual

ROBERT C. L. HARTOG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1425 BEAVERCREEK RD, OREGON CITY, OR 97045-4076
(503) 655-8471
(503) 655-8595
Mailing address
2051 KAEN RD, SUITE 367, OREGON CITY, OR 97045-4035
(503) 742-5300
(503) 742-5304

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD19203
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
071381
OR
Enumeration date
02/20/2006
Last updated
04/30/2012
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