Most Relevant Information
Provider Data
| NPI Number: | 1003479783 |
| Provider Name: | TROY WILLIAM HART |
| Entity Type: | Individual |
| Taxonomy Code: | 175T00000X |
| Specialty: | Peer Specialist |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/17/2019 |
| Last Updated: | 04/17/2019 |
Provider Practice Location
137 NE 1ST ST
NEWPORT
OR
973653042
Practice Location Phone/Fax
| Phone: | 5412723740 |
| Fax: | 5412723740 |
Provider Mailing Location
137 NE 1ST ST
NEWPORT
OR
973653042
Provider Mailing Phone/Fax
| Phone: | 5412723740 |
| Fax: | 5412723740 |