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1003497058
DERIK HARDESTY
CLACKAMAS, OR
NPI
1003497058
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: OR AT4638)
Enumeration Date
2021-04-20
Last Update Date
2022-07-05
Business Address
DERIK HARDESTY OD
12000 SE 82ND AVE
CLACKAMAS, OR 97086-7721
Phone number: 503-659-5947
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Mailing Address
DERIK HARDESTY OD
12000 SE 82ND AVE STE 2193
HAPPY VALLEY, OR 97086-7746
Phone number: 503-659-5947
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