Provider Demographics
NPI:1770609943
Name:HARDT, DANIEL MARK (ND)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:MARK
Last Name:HARDT
Suffix:
Gender:M
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:390 W 12TH AVE
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97401-3301
Mailing Address - Country:US
Mailing Address - Phone:541-683-4404
Mailing Address - Fax:541-683-4405
Practice Address - Street 1:390 W 12TH AVE
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-3301
Practice Address - Country:US
Practice Address - Phone:541-683-4404
Practice Address - Fax:541-683-4405
Is Sole Proprietor?:No
Enumeration Date:2007-03-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR0398175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath