Hybrid Health, LLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

HYBRID HEALTH, LLC

Practice address

9135 SW Barnes Rd
Suite 863
Portland, OR 97225-6601

Phone

(503) 313-0733

NPI assigned

Jan 19, 2009

Last updated

Nov 30, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. David R Boston, M.D.

Title

Owner

Phone

(503) 313-0733

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1232323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322611200000",
    "number": "1417194002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4530 SW FAIRHAVEN DR",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972212610",
            "telephone_number": "503-313-0733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9135 SW BARNES RD",
            "address_2": "SUITE 863",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972256601",
            "telephone_number": "503-313-0733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYBRID HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-19",
        "last_updated": "2011-11-30",
        "status": "A",
        "authorized_official_last_name": "BOSTON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-313-0733",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Sangchul Hwang, MD
• William Hwang
• Linda Jean Hyatt
• Martha Gray Hyatt, LMT
• Vera E Hyatt
• Collin Hyde
• Jason Karl Hyde, MD
• Kelly Ann Hyde
• Kylie Hyde, MS, EDS
• Gabriel Hyder, M.D.

• Cardiovascular Disease Physician in Portland, OR
• Providers in Portland, OR by specialty
• Cardiovascular Disease Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.