Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Jack Hartley MD PC

Organization Specialist · NPI 1689716680

Jack Hartley MD PC provides Specialist services in Redmond, Oregon. Licensed in Oregon. Registered with an NPI since 2007.

Licensed in
OR
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1523 NW Canal Blvd Ste 200
Redmond, OR 97756-1340
Phone: (541) 548-7761
Fax: (541) 526-6554
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence MD12789 (OR)

Record details

NPI number1689716680
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jack Hartley — President · (541) 548-7761
NPI enumeratedFebruary 13, 2007
Last updated in NPPESAugust 22, 2020
Mailing address1523 Nw Canal Blvd Ste 200, Redmond, OR 97756-1340

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