Martha Jo Hartley, RDH, BS, EPDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

905849 Issued in CO

Practice address

6665 W Burnside Rd
Unit # 432
Portland, OR 97210-6665

Phone

(303) 550-1065

NPI assigned

Jun 17, 2010

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1276732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371427200000",
    "number": "1295056885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6665 W BURNSIDE RD",
            "address_2": "UNIT # 432",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972106665",
            "telephone_number": "303-550-1065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6665 W BURNSIDE RD",
            "address_2": "UNIT # 432",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972106665",
            "telephone_number": "303-550-1065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTLEY",
        "first_name": "MARTHA",
        "middle_name": "JO",
        "credential": "RDH, BS, EPDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-17",
        "last_updated": "2013-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CO",
            "license": "905849",
            "primary": true
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "OR",
            "license": "H5669",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jane Eden Hartle
• Nathan Hartleben, MS, CCC-SLP
• Angela Jean Hartley
• Indrid Hartley
• Jennifer Anne Hartley, M.D.
• Samuel Hartley
• Tamara Johnson Hartley, THW
• Curtis Hartling
• Rita Jean Hartlley, DMD
• Jordan Hartman Haight, LCSW

• Dental Hygienist in Portland, OR
• Providers in Portland, OR by specialty
• Dental Hygienist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.