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Individual

DERIK HARDESTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
101 NW 12TH AVE STE 101, BATTLE GROUND, WA 98604-9145
(360) 687-0755
(360) 666-8664
Mailing address
101 NW 12TH AVE STE 101, BATTLE GROUND, WA 98604-9145
(360) 687-0755
(360) 666-8664

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
AT4638
OR

Other

Enumeration date
04/20/2021
Last updated
03/06/2025
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