| Hart Nw Llc | |
|
7050 Childs Rd Lake Oswego OR 97035-7817 | |
| (503) 680-6613 | |
| Not Available |
| Full Name | Hart Nw Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 7050 Childs Rd, Lake Oswego, Oregon |
| Authorized Official Name and Position | Jessica Corp (OWNER) |
| Authorized Official Contact | 5036806613 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hart Nw Llc 7050 Childs Rd Lake Oswego OR 97035-7817 Ph: (503) 680-6613 | Hart Nw Llc 7050 Childs Rd Lake Oswego OR 97035-7817 Ph: (503) 680-6613 |
| NPI Number | 1316627524 |
|---|---|
| Provider Enumeration Date | 07/21/2023 |
| Last Update Date | 07/21/2023 |
| Certification Date | 07/21/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316627524 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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