Craig Hertler Md Llc

LBN: Craig Hertler Md Llc
Craig Hertler Md Llc is an health care organization with primary practice located at 2222 Nw Lovejoy #607, Portland OR 97210. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Craig Hertler Md Llc can be contacted via phone (503) 222-3638, or through Hertler, Craig K. via phone (503) 222-3638.

Contact Information

Primary practice address
2222 Nw Lovejoy #607 Portland OR 97210
Phone: (503) 222-3638
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hertler, Craig K. Doctor of Medicine (MD)
Phone: (503) 222-3638

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD14722 Oregon

Profile Details

NPI number 1952355893
LBN Legal business name Craig Hertler Md Llc
DBA Doing business as
Authorized official Hertler, Craig K. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 22nd, 2006
Last updated Feb 9th, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952355893 NPPES
Oregon MEDICAID 012893

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