Individual
MR. MOSIQUE HARDNET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSS
Contact information
Practice address
2235 NE SANDY BLVD, PORTLAND, OR 97232-2859
(503) 470-9844
Mailing address
2235 NE SANDY BLVD, PORTLAND, OR 97232-2859
(503) 470-9844
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
10/22/2024
Last updated
10/22/2024
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