Hardin, Walter Ray
Hardin, Walter Ray is an individual health care provider with primary practice located at 6 Centerpointe Dr Ste 200 , Lake Oswego OR 97035-8660. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Hardin, Walter Ray can be contacted via phone (503) 797-2268.Contact Information
Primary practice address
6 Centerpointe Dr Ste 200
Lake Oswego OR 97035-8660
Phone: (503) 797-2268
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | DO12722 | Oregon |
Profile Details
| NPI number | 1104841642 |
|---|---|
| LBN Legal business name | Hardin, Walter Ray |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 13th, 2006 |
| Last updated | Dec 19th, 2012 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104841642 | NPPES |
| Oregon | MEDICAID | 235200 |
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