Individual
LAZETTE ROSE HARNISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
5160 NW NEAKAHNIE AVE, #32, PORTLAND, OR 97229-1932
(503) 530-8517
Mailing address
6125 NE CORNELL RD, SUITE 250, HILLSBORO, OR 97124-6498
(503) 530-8517
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
11063
OR
Other
Enumeration date
08/01/2008
Last updated
11/21/2013
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