Organization
HYBRID HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID R BOSTON M.D. (OWNER)
(503) 313-0733
Entity
Organization
Contact information
Practice address
9135 SW BARNES RD, SUITE 863, PORTLAND, OR 97225-6601
(503) 313-0733
Mailing address
4530 SW FAIRHAVEN DR, PORTLAND, OR 97221-2610
(503) 313-0733
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
01/19/2009
Last updated
11/30/2011
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