Individual
DR. JOHN HENRY HARDY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7820 NE HOLMAN ST STE B7, PORTLAND, OR 97218-2859
(971) 533-5840
(971) 270-2806
Mailing address
7820 NE HOLMAN ST STE B7, PORTLAND, OR 97218-2859
(971) 533-5840
(971) 270-2806
Taxonomy
Speciality
Code
Description
License number
State
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
Primary
MD18862
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD18862
OREGON MEDICAL BOARD
OR
Enumeration date
02/26/2010
Last updated
05/20/2024
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