Individual
KATHRYN HARDAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
520 MEDICAL CENTER DR STE 201, MEDFORD, OR 97504-4334
(541) 789-5710
Mailing address
520 MEDICAL CENTER DR STE 201, MEDFORD, OR 97504-4334
(541) 789-5710
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
201901189RN
OR
163W00000X
Registered Nurse
RN261173
GA
363LF0000X
Family Nurse Practitioner
Primary
201901242NP-PP
OR
Other
Enumeration date
02/11/2019
Last updated
04/18/2023
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