1831352632 NPI number — HARDEN PSYCHOLOGICAL ASSOCIATES, P.C.

Table of content: DR. ZANE RENE LAWHORN O.D. (NPI 1184638413)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1831352632 NPI number — HARDEN PSYCHOLOGICAL ASSOCIATES, P.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HARDEN PSYCHOLOGICAL ASSOCIATES, P.C.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1831352632
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/02/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3000 NW STUCKI PL
Provider Second Line Business Mailing Address:
SUITE 230
Provider Business Mailing Address City Name:
HILLSBORO
Provider Business Mailing Address State Name:
OR
Provider Business Mailing Address Postal Code:
97124-7107
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
503-533-9806
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3000 NW STUCKI PL
Provider Second Line Business Practice Location Address:
SUITE 230
Provider Business Practice Location Address City Name:
HILLSBORO
Provider Business Practice Location Address State Name:
OR
Provider Business Practice Location Address Postal Code:
97124-7107
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
503-533-9806
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/02/2008

Additional Information

Authorized Official

Authorized Official Last Name:
HARDEN
Authorized Official First Name:
SHERRY
Authorized Official Middle Name:
L
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
50353399806

Provider Taxonomy Codes

  • Taxonomy code: 103TC0700X , with the licence number:  1404 , registered in the state of OR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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