Individual
ANDREA HARDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
3303 SW BOND AVE, PORTLAND, OR 97239-4501
(503) 494-4373
Mailing address
3303 SW BOND AVE, PORTLAND, OR 97239-4501
(503) 494-4373
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
20044115RN
OR
163WP2201X
Ambulatory Care Registered Nurse
Primary
20044115RN
OR
Other
Enumeration date
02/17/2017
Last updated
02/17/2017
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