Hertler, Craig Kevin
Hertler, Craig Kevin is an sole proprietor health care provider with primary practice located at 2222 Nw Lovejoy St , Portland OR 97210-5104. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Hertler, Craig Kevin can be contacted via phone (503) 222-3638.Contact Information
Primary practice address
2222 Nw Lovejoy St
Portland OR 97210-5104
Phone: (503) 222-3638
Fax: (503) 223-5139
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | MD14722 | Oregon |
Profile Details
| NPI number | 1851387146 |
|---|---|
| LBN Legal business name | Hertler, Craig Kevin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 22nd, 2005 |
| Last updated | Nov 7th, 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 | 1851387146 | NPPES |
| Oregon | MEDICAID | 012893 |
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