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

Rogue Hartman

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1114768660

Rogue Hartman is a Student in an Organized Health Care Education/Training Program in Corvallis, Oregon. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

530 NW 27th St
Corvallis, OR 97330-5223
Phone: (541) 766-6835
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1114768660
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 6, 2024
Last updated in NPPESJune 6, 2024
Certification dateJune 6, 2024
Mailing address17665 Arbor Grove Rd Ne, Woodburn, OR 97071-9376

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