Jill Marie Hartley in Bend - Physician Assistant

Jill Marie Hartley - NPI 1154306686

Jill Marie Hartley is a Physician Assistant in Bend, Oregon. Jill Marie Hartley practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jill Marie Hartley is 1154306686. The last update date is 2007-07-08.

Jill Marie Hartley's current location address is 1375 Nw Kingston Ave, Bend, Oregon. You can contact this provider via phone number 5413835958 and fax number 5413833016. The mailing address for Jill Marie Hartley is 1375 Nw Kingston Ave, Bend, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Jill Marie Hartley
Address 1375 Nw Kingston Ave, Bend, Oregon
Phone Number 5413835958
Fax Number 5413833016
Sole Proprietor X
Credentials PA-C

NPI Number Detail

NPI Number 1154306686
Provider Enumeration Date 2005-12-07
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1375 Nw Kingston Ave
City Bend
State Oregon (OR)
Post Code 977012242
Phone Number 5413835958
Fax Number 5413833016

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No PA00807
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

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FAQs about Jill Marie Hartley

What is the unique 10-digit identifier code issued to Jill Marie Hartley by the Centers for Medicare & Medicaid Services?

The Jill Marie Hartley has been assigned the NPI (National Provider Identifier) 1154306686 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete address where Jill Marie Hartley is physically located?

The Jill Marie Hartley is situated at the following address: 1375 Nw Kingston Ave, Bend, OR 977012242.

Could you please share the complete physical location address where Jill Marie Hartley's facilities are situated?

The facilities of Jill Marie Hartley are physically located at the following address: 1375 Nw Kingston Ave, Bend, OR, 977012242.

What is Jill Marie Hartley's specialized field of practice, and what is the corresponding taxonomy classification code?

The Jill Marie Hartley's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.

On what date was the 1154306686 assigned to Jill Marie Hartley?

The Jill Marie Hartley was issued its 1154306686 on 2005-12-07, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

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