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Individual

NANCY HART

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT, CPT

Contact information

Practice address
15325 SW RIDDLE CT, BEAVERTON, OR 97007-5006
(503) 267-4948
Mailing address
15325 SW RIDDLE CT, BEAVERTON, OR 97007-5006
(503) 267-4948

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
225700000X
Massage Therapist
Primary
11608
OR

Other

Enumeration date
02/14/2014
Last updated
02/14/2014
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