NPI 1366704611

Jenessa Leigh Hartman, OD

Practitioner Optometrist The Dalles, OR

Practice location

Address: 301 Cherry Heights Rd, The Dalles, OR 97058
Phone: (541) 296-1101
Mailing address: 301 Cherry Heights Rd, The Dalles, OR 97058-3586

Registered specialties (3)

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence OD60639931 (WA)

Other Optometrist providers in Oregon →

Optometrist

Eye and Vision Services Providers Taxonomy 152W00000X Licence 3592ATI (OR)

Optometrist

Eye and Vision Services Providers Taxonomy 152W00000X Licence 2014027649 (MO)

Registry record

NPI: 1366704611
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Jun 2012
Record last updated: 9 Jun 2021

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.