MEDICARE: HARTY TILTON KELLEY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist	196966	OR

General Provider Information

NPI Number	:	1033759600
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HARTY TILTON KELLEY

Provider Business Mailing Address
First Line	:	PO BOX 448
Second Line	:
City	:	EAGLE CREEK
State	:	OR
Zip	:	97022-0448
Country	:	US
Telephone Number	:	585-880-5329
Fax Number	:

Provider Business Practice Location Address
First Line	:	37203 SE WILDCAT MOUNTAIN DR
Second Line	:
City	:	EAGLE CREEK
State	:	OR
Zip	:	97022-9696
Country	:	US
Telephone Number	:	585-880-5329
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/13/2020
Last Update Date	:	01/13/2020

Similar Medicare Providers

1063580082 — DR. JOHN KENNEDY BRUNS D.C.
Practice Location Address:

9488 SHORE RD
FISH CREEK, WI
54212-9696

Practice Phone: 920-912-2563
Practice Fax:

1427184324 — MRS. WENDY KAY WILHITE RN, CNOR, RNFA
Practice Location Address:

24655 SE SWEETWATER LN
EAGLE CREEK, OR
97022-9634

Practice Phone: 503-637-4868
Practice Fax:

1073841367 — JACKALYN BOLGER R.N.
Practice Location Address:

22067 SE HOWLETT RD
EAGLE CREEK, OR
97022-9764

Practice Phone: 503-637-3631
Practice Fax:

1912223173 — JUDITH CROP L.P.C.
Practice Location Address:

24004 SE CRANE RD
EAGLE CREEK, OR
97022-9786

Practice Phone: 503-637-3407
Practice Fax:

1992056857 — BETH W. MANTIS LMT
Practice Location Address:

29544 SE HEIPLE RD
EAGLE CREEK, OR
97022-9664

Practice Phone: 503-887-6070
Practice Fax: 503-630-2860

1982243648 — HEATHER LYN SHERMAN
Practice Location Address:

27979 SE BARTLEMAY RD
EAGLE CREEK, OR
97022-8720

Practice Phone: 360-600-2257
Practice Fax:

Directions to “ HARTY TILTON KELLEY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.