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
Entity Type: Individual

Specialization: Ocularist

Address:
2525 NW LOVEJOY ST
STE 306
PORTLAND, OR
ZIP 97210
Phone: (503) 229-8490
Get Directions

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
1	1744P3200X	Specialist	Prosthetics Case Management	51680289	OREGON	No
2	156FX1700X	Technician/Technologist	Ocularist	516802-89	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	01621900001	OTHER	OREGON	REGENCE BCBS DME SUPPLIER
2	500605356	MEDICAID	OREGON
3	0636340001	MEDICARE NSC	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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