Hardebeck, Laura Jo
Hardebeck, Laura Jo is an individual health care provider with primary practice located at 11782 Sw Barnes Rd Ste 300 , Portland OR 97225-5933. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Hardebeck, Laura Jo can be contacted via phone (503) 214-5200.Contact Information
Primary practice address
11782 Sw Barnes Rd Ste 300
Portland OR 97225-5933
Phone: (503) 214-5200
Fax: (503) 906-1519
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 2356 | Oregon |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 19501 | California |
Profile Details
| NPI number | 1235106014 |
|---|---|
| LBN Legal business name | Hardebeck, Laura Jo |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 1st, 2006 |
| Last updated | Jan 12th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235106014 | NPPES |
| Oregon | MEDICAID | 052154 | |
| Oregon | Other | P00022831 | |
| Oregon | Other | 0328996 | |
| Oregon | Other | P00022831 | |
| Oregon | Other | 0257960 |
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