Individual
KAREN GAYE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
200 S HAZEL DELL WAY, CANBY, OR 97013-7829
(503) 263-9500
(503) 263-1383
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
18948
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
069232
—
OR
01
—
P00910531
RR MEDICARE
OR
Enumeration date
12/07/2006
Last updated
12/14/2012
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