# DAVID EDISON HARRIS

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DAVID EDISON HARRIS
- **Other names:** Evergreen Regenerative Medicine & Rehabilitation
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1225650864
- **Legal business name:** DAVID EDISON HARRIS
- **Authorized official:** DR. DAVID EDISON HARRIS DO (OWNER)
- **Authorized official phone:** (541) 414-0450

## Contact information

- **Practice address:** 707 MURPHY RD STE 101, MEDFORD, OR 97504-8520
- **Practice address phone:** (541) 414-0450
- **Practice address fax:** (541) 414-0455
- **Mailing address:** 707 MURPHY RD STE 101, MEDFORD, OR 97504-8520
- **Mailing address phone:** (541) 414-0450
- **Mailing address fax:** (541) 414-0455

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/16/2020
- **Last updated:** 05/16/2020