Individual
COLE HOARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1748 NW FAIRVIEW DR, GRESHAM, OR 97030-3842
(503) 724-0378
Mailing address
1748 NW FAIRVIEW DR, GRESHAM, OR 97030-3842
(503) 724-0378
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
24070
OR
Other
Enumeration date
04/25/2019
Last updated
04/25/2019
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