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Organization

BHS PHYSICIAN SERVICES OF OREGON PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JONATHAN HOREY M.D. (PRESIDENT)
(646) 479-9469
Entity
Organization

Contact information

Practice address
601 SW 2ND AVE STE 2100, PORTLAND, OR 97204-3158
(646) 479-9469
Mailing address
601 SW 2ND AVE STE 2100, PORTLAND, OR 97204-3158

Taxonomy

Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
363L00000X
Nurse Practitioner
363LP0808X
Psychiatric/Mental Health Nurse Practitioner

Other

Enumeration date
01/12/2016
Last updated
01/12/2016
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