Individual
JASON M HARDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
8880 SE CASABLANCA CT., CLACKAMAS, OR 97015
(503) 290-6345
Mailing address
8880 SE CASABLANCA CT, CLACKAMAS, OR 97015-9581
(503) 290-6345
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
19154
OR
Other
Enumeration date
10/24/2012
Last updated
10/24/2012
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