Individual
MR. CHASE STEVEN HARDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
805 SE 151ST AVE, PORTLAND, OR 97233-2916
(971) 271-7270
Mailing address
805 SE 151ST AVE, PORTLAND, OR 97233-2916
(971) 271-7270
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/08/2018
Last updated
11/08/2018
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