Individual
DR. JON MICHAEL HARTINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3101 SE 192ND AVE, SUITE 106, VANCOUVER, WA 98683-1442
(360) 553-7400
(503) 553-7450
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
DO155128
OR
207Q00000X
Family Medicine Physician
Primary
OP60469602
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500638209
—
OR
01
—
P01406766
RR MEDICARE - PHS
WA
Enumeration date
08/15/2008
Last updated
04/21/2021
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