Hartog, Robert C. L.

Hartog, Robert C. L. is an sole proprietor health care provider with primary practice located at 1425 Beavercreek Rd , Oregon City OR 97045-4076. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Hartog, Robert C. L. can be contacted via phone (503) 655-8471.

Contact Information

Primary practice address
1425 Beavercreek Rd Oregon City OR 97045-4076
Phone: (503) 655-8471
Fax: (503) 655-8595
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD19203 Oregon

Profile Details

NPI number 1821063256
LBN Legal business name Hartog, Robert C. L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 20th, 2006
Last updated Apr 30th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821063256 NPPES
Oregon MEDICAID 071381

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