John Henry Hardy Jr., MD

Primary specialty

Addiction Medicine (Preventive Medicine) PhysicianTaxonomy code 2083A0300X

License

MD18862 Issued in OR

Practice address

7820 NE Holman St Ste B7
Portland, OR 97218-2859

Phone

(971) 533-5840

Fax

(971) 270-2806

NPI assigned

Feb 26, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• John Hardy MD LLC

  • Addiction Medicine (Preventive Medicine) Physician
  • Portland, OR
  • NPI 1942152376
  NPD Authorized official
• Ascension Medical Group LLC

  • Addiction Medicine (Family Medicine) Physician
  • Portland, OR
  • NPI 1558719450
  NPD (past) Authorized official

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

{
    "created_epoch": "1267142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1942522388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7820 NE HOLMAN ST STE B7",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972182859",
            "telephone_number": "971-533-5840",
            "fax_number": "971-270-2806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7820 NE HOLMAN ST STE B7",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972182859",
            "telephone_number": "971-533-5840",
            "fax_number": "971-270-2806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDY",
        "first_name": "JOHN",
        "middle_name": "HENRY",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-02-26",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083A0300X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": "OR",
            "license": "MD18862",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OREGON MEDICAL BOARD",
            "identifier": "MD18862",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrea Hardy, RN, BSN
• Anthony James Hardy
• Ashley Hardy
• Bryna E Hardy
• Jennifer Louise Hardy, M.A.
• Kaleb Hardy
• Linda Hardy
• Shadee Alea Hardy, LICSW
• Steven Hardy, BCBA, LBA
• Anna Quinn Hare, MD

• Addiction Medicine (Preventive Medicine) Physician in Portland, OR
• Providers in Portland, OR by specialty
• Addiction Medicine (Preventive Medicine) Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.