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Individual

MICHAEL JAMES DE HART

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
30 NE MLK BLVD, PORTLAND, OR 97232-2941
(503) 232-1099
Mailing address
1230 SE MORRISON ST APT B14, PORTLAND, OR 97214-2434

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary

Other

Enumeration date
05/11/2020
Last updated
05/11/2020
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