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
Phone: (503) 962-1000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578008397 | NPPES |
| Oregon | MEDICAID | 500740964 |
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