Individual
ANTHONY JAMES HARDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10336 NE WYGANT ST, PORTLAND, OR 97220-3368
(541) 731-8215
Mailing address
10336 NE WYGANT ST, PORTLAND, OR 97220-3368
(541) 731-8215
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OR
Other
Enumeration date
05/14/2019
Last updated
05/14/2019
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