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DR. RUSSELL B HARRISON MD PC NPI 1154764405


NPI Information

NPI: 1154764405
Provider Name: DR. RUSSELL B HARRISON, MD PC

Doing Business As: HARRISON FAMILY MEDICINE

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 38D2057682

Address:
1100 SOUTHGATE STE 2
PENDLETON, OR
ZIP 97801
Phone: (541) 215-1564
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DR. RUSSELL B HARRISON, MD PC is a primary care clinic center in Pendleton, OR. DR. RUSSELL B HARRISON, MD PC NPI is 1154764405. The provider is registered as an organization entity type.
The provider Is Doing Business As Harrison Family Medicine.

The provider's business location address is:

1100 SOUTHGATE STE 2
PENDLETON, OR
ZIP 97801-971
Phone: (541) 215-1564
Fax: (541) 215-1567

The provider's authorized official is Russell B Harrison .
The authorized official title is Owner/operator and has the following contact phone number (541) 215-1564.

The CLIA number assigned to this NPI record is 38D2057682 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/16/2013 and was last updated on 1/27/2021.


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
1261QP2300XClinic/CenterPrimary CareMD29141OREGONYes

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: 5/5/2024

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