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NPI Code Detail

MEDICARE: TATIANA ARIEL HARDEN FNP

MEDICARE: TATIANA ARIEL HARDEN FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner10011012OR
2163W00000XRegistered Nurse266359TN
3163W00000XRegistered Nurse10011012OR

General Provider Information

NPI Number : 1083329221
Entity Type Code : Individual
Provider Name (Legal Business Name) : TATIANA ARIEL HARDEN FNP
Provider Business Mailing Address
First Line : 1430 MONMOUTH ST
Second Line :
City : INDEPENDENCE
State : OR
Zip : 97351-1127
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1430 MONMOUTH ST
Second Line :
City : INDEPENDENCE
State : OR
Zip : 97351-1127
Country : US
Telephone Number : 503-917-2255
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2023
Last Update Date : 12/08/2025

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