Individual
SAMUEL HARTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
125 NE 102ND AVE, PORTLAND, OR 97220-4166
(503) 254-6317
(360) 326-9195
Mailing address
21600 OXNARD ST, SUITE 1800, WOODLAND HILLS, CA 91367-4976
(818) 345-2345
(818) 758-8015
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
10178815
OR
Other
Enumeration date
02/23/2017
Last updated
02/23/2017
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