Michelle Hardenbrook, NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

201703070NP-PP Issued in OR

Practice address

4800 SW Griffith Dr Ste 104
Beaverton, OR 97005-8700

Phone

(971) 727-8154

Fax

(971) 246-5094

NPI assigned

Jul 12, 2010

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR, WA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mah Psychiatric Services Inc

  dba Kids, Inc.

  • Psychiatric/Mental Health Nurse Practitioner
  • Beaverton, OR
  • NPI 1124680699

  Single Specialty, WA

  Medicare reassignment NPD Authorized official
• Sequoia Mental Health Services Inc

  • Community/Behavioral Health Agency
  • Aloha, OR
  • NPI 1730167982

  Single Specialty

  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1278892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562112000000",
    "number": "1851603476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 SW GRIFFITH DR STE 104",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970058700",
            "telephone_number": "971-727-8154",
            "fax_number": "971-246-5094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 SW GRIFFITH DR STE 104",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970058700",
            "telephone_number": "971-727-8154",
            "fax_number": "971-246-5094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDENBROOK",
        "first_name": "MICHELLE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-12",
        "last_updated": "2019-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "201703070NP-PP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500733907",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brandi Hanson, PT
• Craig E Hanson, LCSW
• Eric Hanson, L.M.T.
• Sakib Haque, PHARMD
• Michael Haranzo
• Chelsea Seare Hardin, M.D.
• Carly Hardman
• Marla Rae Hardy Morgan, ANP, MA
• Lesli Karon Hardy, LMT
• Patricia Blake Hardy, LPN

• Psychiatric/Mental Health Nurse Practitioner in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Psychiatric/Mental Health Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.