Hardesty, Derik
Hardesty, Derik is an individual health care provider with primary practice located at 12000 Se 82Nd Ave , Clackamas OR 97086-7721. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Hardesty, Derik can be contacted via phone (503) 659-5947.Contact Information
Primary practice address
12000 Se 82Nd Ave
Clackamas OR 97086-7721
Phone: (503) 659-5947
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | AT4638 | Oregon |
Profile Details
| NPI number | 1003497058 |
|---|---|
| LBN Legal business name | Hardesty, Derik |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 20th, 2021 |
| Last updated | Jul 5th, 2022 - about 4 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.
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