MR. MASON CLARKE HARRISON F.N.P. NPI 1356355846

NPI Information

NPI: 1356355846
Provider Name: MR. MASON CLARKE HARRISON, F.N.P.
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
3144 STATE ST
MEDFORD, OR
ZIP 97504
Phone: (541) 226-9840
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MR. Mason Clarke Harrison, F.N.P. is a family nurse practitioner in Medford, OR with 19 years of experience. MR. Mason Clarke Harrison, F.N.P. NPI is 1356355846. 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:

3144 STATE ST
MEDFORD, OR
ZIP 97504-450
Phone: (541) 226-9840
Fax: (541) 226-9846

The NPI 1356355846 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 7/28/2006 and was last updated on 12/8/2022.

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	363LF0000X	Nurse Practitioner	Family	200550153NP	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	P01349583	OTHER	OREGON	RAILROAD MEDICARE IND
2	DU9308	OTHER	OREGON	RAILROAD MEDICARE GRP
3	026845	MEDICAID	OREGON

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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