Craig K. Hertler (NPI# 1851387146, PAC ID# 1951397389) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.
| Nation Provider ID (NPI) | 1851387146 |
| PAC ID by PECOS | 1951397389 |
| Professional Enrollment ID | I20050601000335 |
| Full Name | Craig K. Hertler |
| Organization Legal Name | PDXENT AND AUDIOLOGY MEDICAL GROUP PC |
| Address |
2222 Nw Lovejoy Suite 607 Portland OR 97210-5104 |
| Phone Number | 5032223638 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF WISCONSIN MEDICAL SCHOOL |
| Graduation Year | 1985 |
| Primary Specialty | OTOLARYNGOLOGY |
| Group Practice PAC ID | 8820397086 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380004 | PROVIDENCE ST VINCENT MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2222 Nw Lovejoy, Suite 607, Portland, OR 97210-5104 | 5032223638 | PDXENT AND AUDIOLOGY MEDICAL GROUP PC |
| Organization Legal Name | PDXENT AND AUDIOLOGY MEDICAL GROUP PC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrew K Patel | Otolaryngology | Pdxent and Audiology Medical Group PC | 2222 Nw Lovejoy, Suite 607, Portland, OR 97210-5104 |
| Maxwell C Furr | Otolaryngology | Pdxent and Audiology Medical Group PC | 2222 Nw Lovejoy, Suite 607, Portland, OR 97210-5104 |
| Dustin M Bronsdon | Qualified Audiologist | Pdxent and Audiology Medical Group PC | 2222 Nw Lovejoy, Suite 607, Portland, OR 97210-5104 |
| Christopher Lawson | Audiologist | Pdxent and Audiology Medical Group PC | 2222 Nw Lovejoy, Suite 607, Portland, OR 97210-5104 |
| Street Address |
2222 NW LOVEJOY SUITE 607 |
| City | PORTLAND |
| State | OR |
| Zip | 97210-5104 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrew K Patel | Otolaryngology | Pdxent and Audiology Medical Group PC | 2222 Nw Lovejoy, Suite 607, Portland, OR 97210-5104 |
| Maxwell C Furr | Otolaryngology | Pdxent and Audiology Medical Group PC | 2222 Nw Lovejoy, Suite 607, Portland, OR 97210-5104 |
| Dustin M Bronsdon | Qualified Audiologist | Pdxent and Audiology Medical Group PC | 2222 Nw Lovejoy, Suite 607, Portland, OR 97210-5104 |
| Christopher Lawson | Audiologist | Pdxent and Audiology Medical Group PC | 2222 Nw Lovejoy, Suite 607, Portland, OR 97210-5104 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul G Brown | Clinical Psychologist | 2134 Nw Aspen Ave, Portland, OR 97210-1217 | |
| Megan A Banker | Chiropractic | 2232 Nw Pettygrove St, Suite 110, Portland, OR 97210-2372 | |
| Gail F Ott | Chiropractic | Megan Banker Dc PC | 2232 Nw Pettygrove St, Suite 110, Portland, OR 97210-2372 |
| Carol Stimpson Christensen | Clinical Social Worker | 2520 Nw Upshur St, Portland, OR 97210-2550 | |
| Laurence W Christensen | Clinical Psychologist | 2520 Nw Upshur St, Portland, OR 97210-2550 | |
| Karen B Kelsall | Chiropractic | 1615 Nw23rd Ave, Suite 2, Portland, OR 97210-2563 | |
| Anthony U Weber | Chiropractic | Kelsall Chiropractic Clinic PC | 1615 Nw23rd Ave, Portland, OR 97210-2563 |
| Tony Farrenkopf | Psychologist, Clinical | 2256 Nw Pettygrove St, Portland, OR 97210-2608 | |
| Kimberly Michiko Nakayama | Qualified Audiologist | Northwest Ear Institute PC | 2230 Nw Pettygrove St, Suite 120, Portland, OR 97210-2659 |
| Jeffrey Christopher La Rochelle | Urology | Northwest Urology LLC | 2230 Nw Pettygrove, Suite 210, Portland, OR 97210-2659 |
| Find all physicians in zip 97210 | |||
| City | PORTLAND |
| Zip Code | 97210 |
| Specialty | OTOLARYNGOLOGY |
| City + Specialty | PORTLAND + OTOLARYNGOLOGY |
Please comment or provide details below to improve the information on Craig K. Hertler.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.