Individual
PATRICIA BLAKE HARDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
7240 SW SCHOLLS FERRY RD APT 2, BEAVERTON, OR 97008-4070
(503) 317-3335
Mailing address
7240 SW SCHOLLS FERRY RD APT 2, BEAVERTON, OR 97008-4070
(503) 317-3335
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
201030515LPN
OR
Other
Enumeration date
02/05/2011
Last updated
02/05/2011
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