Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jack Hartley MD PC

Organization Specialist · NPI 1689716680

Jack Hartley MD PC is a Specialist 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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