VIRGINIA LEE HARRIS NP NPI 1043247059

NPI Information

NPI: 1043247059
Provider Name: VIRGINIA LEE HARRIS, NP
Classification: Nurse Practitioner - 363LG0600X
Specialization: Gerontology
Entity Type: Individual
PECOS Registration: Yes
Address: 5100 SW MACADAM AVE
SUITE 200
PORTLAND, OR
ZIP 97239
Phone: (971) 202-5500

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NPI Details

Virginia Lee Harris, NP is a gerontology nurse practitioner in Portland, OR. Virginia Lee Harris, NP NPI is 1043247059. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5100 SW MACADAM AVE
SUITE 200
PORTLAND, OR
ZIP 97239-102
Phone: (971) 202-5500
Fax: (971) 202-5555

The NPI 1043247059 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/26/2006 and was last updated on 1/22/2013.

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	363LG0600X	Nurse Practitioner	Gerontology	200550028NP	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	067593032	OTHER	OREGON	BLUE CROSS/SHIELD PIN
2	131297	MEDICARE ID-TYPE UNSPECIFIED	OREGON
3	Q41921	MEDICARE UPIN	OREGON
4	023090	MEDICARE ID-TYPE UNSPECIFIED

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: 11/21/2025

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