Provider Demographics
NPI:1679603286
Name:HARTMAN, LINDA CHRISTINE (RN, CDE, BSN)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:CHRISTINE
Last Name:HARTMAN
Suffix:
Gender:F
Credentials:RN, CDE, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35243 MALIN LOOP RD
Mailing Address - Street 2:
Mailing Address - City:MALIN
Mailing Address - State:OR
Mailing Address - Zip Code:97632-9733
Mailing Address - Country:US
Mailing Address - Phone:541-331-3615
Mailing Address - Fax:541-723-4380
Practice Address - Street 1:35243 MALIN LOOP RD
Practice Address - Street 2:
Practice Address - City:MALIN
Practice Address - State:OR
Practice Address - Zip Code:97632-9733
Practice Address - Country:US
Practice Address - Phone:541-331-3615
Practice Address - Fax:541-723-4380
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR097118OtherDMAP GRP#