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General NPI Number Information
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NPI Number | 1376708453
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Entity Type | Individual
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Provider Name | SARA LYNN HARKNESS LMT
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Gender | Female
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Dates
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Enumeration Date | 07/28/2008
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Last Update Date | 11/12/2024
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Provider Practice Location Address
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Address Line | 18676 SW BOONES FERRY RD
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City | TUALATIN
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State | OR
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Zip | 97062-8435
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Country | US
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Telephone | 971-404-1736
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Fax |
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Provider Business Mailing Address
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Address Line | 1925 SW PENDLETON ST
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City | PORTLAND
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State | OR
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Zip | 97239-2051
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Country | US
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Telephone | 951-231-5683
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 28286
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License Number State | OR
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