MR. JAY EDWARD HARRIS RN MSN NPI 1407160286

NPI Information

NPI: 1407160286
Provider Name: MR. JAY EDWARD HARRIS, RN, MSN
Classification: Registered Nurse - 163WA2000X
Entity Type: Individual

Specialization: Administrator

Address:
1058 NE 12TH ST
BEND, OR
ZIP 97701
Phone: (541) 530-3066
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MR. Jay Edward Harris, RN, MSN is an administrator registered nurse in Bend, OR. MR. Jay Edward Harris, RN, MSN NPI is 1407160286. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1058 NE 12TH ST
BEND, OR
ZIP 97701-412
Phone: (541) 530-3066

The enumeration date for this NPI number is 8/3/2010 and was last updated on 8/3/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WA2000X	Registered Nurse	Administrator	200341738	OREGON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	200341738	OTHER	OREGON	OREGON NURSING LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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