MR. FREDRIC M HARWIN MSC BCO BADO FAMI NPI 1689669624

NPI Information

  • NPI: 1689669624
  • Provider Name: MR. FREDRIC M HARWIN, MSC, BCO, BADO, FAMI
  • Classification: Technician/Technologist - 156FX1700X
  • Specialization: Ocularist
  • Entity Type: Individual
  • Address: 2525 NW LOVEJOY ST
    STE 306
    PORTLAND, OR
    ZIP 97210
  • Phone: (503) 229-8490

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NPI Details

MR. Fredric M Harwin, MSC, BCO, BADO, FAMI is an ocularist technician technologist in Portland, OR. The provider is an ocularist is a thoroughly trained professional skilled in the art of fitting, painting, and fabricating custom ocular prostheses. In addition to creating custom ocular prostheses, and providing long-term care through periodic examinations, an ocularist provides the patient with complete instructions on the care and maintenance of their prosthesis. MR. Fredric M Harwin, MSC, BCO, BADO, FAMI NPI is 1689669624. 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:

2525 NW LOVEJOY ST
STE 306
PORTLAND, OR
ZIP 97210-859
Phone: (503) 229-8490
Fax: (503) 224-0740

The enumeration date for this NPI number is 9/15/2005 and was last updated on 8/24/2011.

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
11744P3200XSpecialistProsthetics Case Management51680289OREGONNo
2156FX1700XTechnician/TechnologistOcularist516802-89OREGONYes

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
101621900001OTHEROREGONREGENCE BCBS DME SUPPLIER
2500605356MEDICAIDOREGON
30636340001MEDICARE NSCOREGON

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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