Individual
DR. WALTER RAY HARDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
6 CENTERPOINTE DR STE 200, LAKE OSWEGO, OR 97035-8660
(503) 797-2268
Mailing address
23820 NW TURNER CREEK RD, YAMHILL, OR 97148-8217
(503) 662-5190
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO12722
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
235200
—
OR
Enumeration date
07/13/2006
Last updated
12/19/2012
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