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

Benjamin J Hartwig, AGACNP

Individual provider Gerontology Nurse Practitioner · NPI 1578008397

Benjamin J Hartwig, AGACNP is a Nurse Practitioner in Portland, Oregon. Graduated from Oregon Health Sciences University School of Medicine in 2017, 9 years ago. Practices with Providence Health and Services Oregon, a 1,426-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Oregon.

Years since qualifying
9
Trained at
Oregon Health Sciences University School of Medicine
Licensed in
OR
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

4400 NE Halsey St Ste 102
Portland, OR 97213-1545
Phone: (503) 962-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1111 Ne 99th Ave Ste 201, Portland, OR 97220-9442 — (503) 962-1000

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 201706637NP-PP (OR)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 201706637NP-PP (OR)

Record details

NPI number1578008397
Entity typeIndividual (Type 1)
GenderMale
Credentials AGACNP
Sole proprietorNo
NPI enumeratedJanuary 3, 2017
Last updated in NPPESJune 20, 2023
Certification dateJune 20, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice Providence Health And Services Oregon — 1426 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in Portland