Dr. Walter Ray Hardin, D.O.
Family Medicine in Lake Oswego, OR. Individual provider (NPI-1).
NPI number1104841642
StatusActive
Last updated in NPPESDec 19, 2012
Details
- NPI
- 1104841642
- Entity type
- Individual (NPI-1)
- Name
- Dr. Walter Ray Hardin
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 13, 2006
- Last updated
- Dec 19, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | DO12722 | OR | Yes |
Practice location
6 Centerpointe Dr Ste 200Lake Oswego, OR 97035-8660
Phone 503-797-2268
Mailing address
23820 Nw Turner Creek RdYamhill, OR 97148-8217
Phone 503-662-5190
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