Hartwig, Benjamin J

Hartwig, Benjamin J is an individual health care provider with primary practice located at 4400 Ne Halsey St Ste 102 , Portland OR 97213-1545. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is his primary health care specialty. Hartwig, Benjamin J can be contacted via phone (503) 962-1000.

Contact Information

Primary practice address
4400 Ne Halsey St Ste 102 Portland OR 97213-1545
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 201706637NP-PP Oregon
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 201706637NP-PP Oregon

Profile Details

NPI number 1578008397
LBN Legal business name Hartwig, Benjamin J
Credentials AGACNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2017
Last updated Jun 20th, 2023 - about 3 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 1578008397 NPPES
Oregon MEDICAID 500740964

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