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Contact Information

IAN M HARTMAN, PA
1111 NE 99TH AVE
SUITE 201
PORTLAND, OR97220-9428
 Phone: 503-962-1020
 Fax: 503-962-1021
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for IAN M HARTMAN · (Male)

NPI Number 1598772311
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 08/02/2006
Last updated 03/11/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • OR License # PA01148
  • OR Medicaid 500603584
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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