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JACK HARTLEY MD PC
NPI 1689716680
Specialist in Redmond, OR

Active since February 13, 2007
1523 NW CANAL BLVD STE 200, REDMOND, OR 97756(541) 548-7761(541) 526-6554 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jack Hartley Md Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACK HARTLEY MD PC (NPI 1689716680) is a healthcare organization registered as a specialist in Redmond, Oregon and active in the NPI registry since February 2007. The organization lists Jack Hartley, President, as its authorized official.

NPPES Registry Identity

NPI1689716680
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameJACK HARTLEY MD PC
Location Address1523 NW CANAL BLVD STE 200Redmond, OR 97756-1340
Mailing Address1523 Nw Canal Blvd Ste 200Redmond, OR 97756-1340 · (541) 548-7761 · Fax (541) 526-6554
Phone(541) 548-7761
Fax(541) 526-6554
Organization SubpartNo
Authorized OfficialJack HartleyPresident · (541) 548-7761
Enumeration DateFebruary 13, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1689716680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in OR · MD12789
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1523 NW CANAL BLVD STE 200, Redmond, OR 97756
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SURGICAL ASSOCIATES OF THE CASCADES LLP
Specialist
1523 NW CANAL BLVD STE 200
REDMOND, OR 97756
Deschutes County (541) 548-7761

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack Hartley MD PC's NPI number?

The NPI number for Jack Hartley MD PC is 1689716680. It was assigned to this organization in the NPPES registry on February 13, 2007.

Where is Jack Hartley MD PC located?

Jack Hartley MD PC is located at 1523 NW Canal Blvd Ste 200, Redmond, OR 97756. The listed phone number is (541) 548-7761.

What is Jack Hartley MD PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Jack Hartley MD PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.