Provider Demographics
NPI:1427443431
Name:HARTLING, CURTIS
Entity type:Individual
Prefix:DR
First Name:CURTIS
Middle Name:
Last Name:HARTLING
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3550 SW BOND AVE
Mailing Address - Street 2:SUITE 173
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97239-4507
Mailing Address - Country:US
Mailing Address - Phone:503-418-2555
Mailing Address - Fax:
Practice Address - Street 1:3550 SW BOND AVE
Practice Address - Street 2:SUITE 173
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97239-4507
Practice Address - Country:US
Practice Address - Phone:503-418-2555
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-04-06
Last Update Date:2015-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR30801231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist