Individual
LAURA JO HARDEBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
11782 SW BARNES RD STE 300, PORTLAND, OR 97225-5933
(503) 214-5200
(503) 906-1519
Mailing address
16083 SW UPPER BOONES FERRY RD, TIGARD, OR 97224-7736
(800) 219-8835
(503) 639-9699
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
19501
CA
225100000X
Physical Therapist
Primary
2356
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0257960
WASHINGTON L& I
—
01
—
0328996
WA L&I
OR
05
—
052154
—
OR
01
—
P00022831
RR MEDICARE PTAN
OR
Enumeration date
03/01/2006
Last updated
01/12/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us