Organization
ASCENSION MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN HENRY HARDY JR. MD (MANAGING MEMBER-MEDICAL DIRECTOR)
(971) 804-1906
Entity
Organization
Contact information
Practice address
700 N HAYDEN ISLAND DR STE 100, PORTLAND, OR 97217-8130
(971) 533-5840
(971) 270-2806
Mailing address
700 N HAYDEN ISLAND DR STE 100, PORTLAND, OR 97217-8130
(971) 533-5840
(971) 270-2806
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
06/01/2016
Last updated
06/01/2016
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