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1376708453 NPI number — SARA LYNN HARKNESS LMT

NPI Number: 1376708453
Health Care Provider/Practitioner: SARA LYNN HARKNESS LMT

Information about “1376708453” NPI (SARA LYNN HARKNESS LMT) exists in 1376708453 in HTML format HTML  |  1376708453 in plain Text format TXT  |  1376708453 in PDF (Portable Document Format) PDF  |  1376708453 in an XML format XML  formats.

NPI Number : 1376708453 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1376708453",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HARKNESS",
    "FirstName": "SARA",
    "MiddleName": "LYNN",
    "NamePrefix": "MISS",
    "NameSuffix": null,
    "Credential": "LMT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "MASYCZEK",
    "OtherFirstName": "SARA",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "CADAC",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "1925 SW PENDLETON ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PORTLAND",
    "MailingAddressStateName": "OR",
    "MailingAddressPostalCode": "97239-2051",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "951-231-5683",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "18676 SW BOONES FERRY RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "TUALATIN",
    "PracticeLocationAddressStateName": "OR",
    "PracticeLocationAddressPostalCode": "97062-8435",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "971-404-1736",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/28/2008",
    "LastUpdateDate": "11/12/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "225700000X",
        "TaxonomyName": "Massage Therapist",
        "LicenseNumber": "28286",
        "LicenseNumberStateCode": "OR",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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