NPI 1275466104

Jerith M Hart, CNAQMHA

Practitioner Student in an Organized Health Care Education/Training Program Gresham, OR

Practice location

Address: 4101 NE Division St, Gresham, OR 97030-4617
Phone: (503) 666-6575
Mailing address: 3743 SE Cesar E Chavez Blvd, Portland, OR 97202-1790

Registered specialties

Student in an Organized Health Care Education/Training Program Primary

Student, Health Care Taxonomy 390200000X

Other Student in an Organized Health Care Education/Training Program providers in Oregon →

Registry record

NPI: 1275466104
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Jun 2026
Record last updated: 8 Jun 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.