Individual
RICH HINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
11515 SW DURHAM RD STE E9, TIGARD, OR 97224-3476
(503) 748-2552
Mailing address
11515 SW DURHAM RD STE E9, TIGARD, OR 97224-3476
(503) 748-2552
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
16235
OR
Other
Enumeration date
07/14/2009
Last updated
07/14/2009
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