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DAVID EDISON HARRIS NPI 1225650864


NPI Information

NPI: 1225650864
Provider Name: DAVID EDISON HARRIS
Classification: Physical Medicine & Rehabilitation - 2081P2900X
Entity Type: Organization

Specialization: Pain Medicine

Address:
707 MURPHY RD STE 101
MEDFORD, OR
ZIP 97504
Phone: (541) 414-0450
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DAVID EDISON HARRIS is a pain medicine physical medicine rehabilitation in Medford, OR. The provider is a physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. DAVID EDISON HARRIS NPI is 1225650864. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

707 MURPHY RD STE 101
MEDFORD, OR
ZIP 97504-520
Phone: (541) 414-0450
Fax: (541) 414-0455

The provider's authorized official is David Edison Harris .
The authorized official title is Owner and has the following contact phone number (541) 414-0450.

The enumeration date for this NPI number is 5/16/2020 and was last updated on 5/16/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12081P2900XPhysical Medicine & RehabilitationPain MedicineYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1500679386MEDICAIDOREGON

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: 11/14/2023

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