| Carolyn M. Hartman Md Pc | |
|
767 Willamette St Suite 307-a Eugene OR 97401-2952 | |
| (541) 653-9168 | |
| Not Available |
| Full Name | Carolyn M. Hartman Md Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 767 Willamette St, Eugene, Oregon |
| Authorized Official Name and Position | Carolyn M. Hartman (PRESIDENT) |
| Authorized Official Contact | 5416539168 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carolyn M. Hartman Md Pc 767 Willamette St Suite 307-a Eugene OR 97401-2952 Ph: (541) 653-9168 | Carolyn M. Hartman Md Pc 767 Willamette St Suite 307-a Eugene OR 97401-2952 Ph: (541) 653-9168 |
| NPI Number | 1235439738 |
|---|---|
| Provider Enumeration Date | 10/30/2010 |
| Last Update Date | 11/01/2010 |
| Medicare PECOS PAC ID | 1456549450 |
|---|---|
| Medicare Enrollment ID | O20101216001071 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235439738 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | MD20511 (Oregon) | Primary |
| Provider Name | Carolyn M Hartman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194799718 PECOS PAC ID: 7618003443 Enrollment ID: I20100331000081 |
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