Samuel Aden Hirtle D.O.

NPI 1194902502 - Family Medicine - 207Q00000X

NPI Details
NPI 1194902502
Gender Male
Enumeration Date 01/28/2008
Last Updated 05/06/2015
Entity Type Individual
Active Over 8 years ago
Practice Location
870 S FRONT ST
STE 200
CENTRAL POINT OR, 97502-2779, US
Phone (541) 664-3346
Fax (541) 664-6051
Business Location
PO BOX 3158
PORTLAND OR, 97208-3158, US
Phone (541) 664-3346
Fax (541) 664-6051
Toxanomy
Taxonomy Code 207Q00000X
License State Washington
License Number OL60286768
Remove 1194902502 NPI Number
 

According to our database, Dr. Samuel Aden Hirtle D.O. NPI is 1194902502, taxonomy code is 207Q00000X and license number is OL60286768, license state is located at Washington. Samuel Aden Hirtle D.O. physically located at 870 S Front St, Central Point OR, 97502-2779. NPI Number Samuel Aden Hirtle D.O. has the Individual type.

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1194902502 NPI number is provided on an as is basis without warranty of any kind. 1194902502 is maintained by the National Plan & Provider Enumeration System. The contents of Samuel Aden Hirtle D.O. are for informational purposes only.