Carly Hardman

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

22683 Issued in OR

Practice address

11525 SW Bel Aire LN
Beaverton, OR 97008-5911

Phone

(971) 770-5131

NPI assigned

Sep 13, 2016

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1473724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473724800000",
    "number": "1902354467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11525 SW BEL AIRE LN",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970085911",
            "telephone_number": "971-770-5131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11525 SW BEL AIRE LN",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970085911",
            "telephone_number": "971-770-5131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDMAN",
        "first_name": "CARLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-13",
        "last_updated": "2016-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Community Health Worker",
            "state": "OR",
            "license": "22683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Hanson, L.M.T.
• Sakib Haque, PHARMD
• Michael Haranzo
• Michelle Hardenbrook, NP
• Chelsea Seare Hardin, M.D.
• Marla Rae Hardy Morgan, ANP, MA
• Lesli Karon Hardy, LMT
• Patricia Blake Hardy, LPN
• Tucker Hardy, MSW, CSWA
• Owen Harkin

• Community Health Worker in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Community Health Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.