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1417194002
HYBRID HEALTH, LLC
PORTLAND, OR
NPI
1417194002
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Entity Type
Organization
Authorized Contact
DAVID R BOSTON
Owner
503-313-0733
Organization Subpart ?
No
Primary Taxonomy
207RC0000X Internal Medicine, Cardiovascular Disease
Enumeration Date
2009-01-19
Last Update Date
2011-11-30
Business Address
HYBRID HEALTH, LLC
9135 SW BARNES RD SUITE 863
PORTLAND, OR 97225-6601
Phone number: 503-313-0733
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Mailing Address
HYBRID HEALTH, LLC
4530 SW FAIRHAVEN DR
PORTLAND, OR 97221-2610
Phone number: 503-313-0733
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