Hybrid Health, Llc

NPI 1417194002 - Internal Medicine - 207RC0000X

NPI Details
NPI 1417194002
Enumeration Date 01/19/2009
Last Updated 11/30/2011
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name DAVID R DAVID
Position OWNER
Phone (503) 313-0733
Fax
Practice Location
9135 SW BARNES RD
SUITE 863
PORTLAND OR, 97225-6601, US
Phone (503) 313-0733
Fax
Business Location
4530 SW FAIRHAVEN DR
PORTLAND OR, 97221-2610, US
Phone (503) 313-0733
Fax
Toxanomy
Taxonomy Code 207RC0000X
License State
License Number
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According to our database, Hybrid Health, Llc NPI is 1417194002, taxonomy code is 207RC0000X Hybrid Health, Llc physically located at 9135 Sw Barnes Rd, Portland OR, 97225-6601. NPI Number 1033115704 has the healthcare provider type.

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1417194002 NPI number is provided on an as is basis without warranty of any kind. 1417194002 is maintained by the National Plan & Provider Enumeration System. The contents of Hybrid Health, Llc are for informational purposes only.