Individual
JOHN C HADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
525 SE WASHINGTON ST, DALLAS, OR 97338
(503) 623-8301
(503) 623-7337
Mailing address
PO BOX 378, DALLAS, OR 97338
(503) 623-7301
(503) 623-7337
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
25413
CO
207Q00000X
Family Medicine Physician
Primary
DO27341
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01254135
—
CO
Enumeration date
07/25/2006
Last updated
07/08/2007
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