Individual
KECIA HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
11481 SW HALL BLVD STE 200, TIGARD, OR 97223-8403
(503) 980-4334
Mailing address
14311 NE STOLLER RD, DAYTON, OR 97114-7053
(503) 560-8285
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201600994NP-PP
OR
363LG0600X
Gerontology Nurse Practitioner
201600994NP-PP
OR
Other
Enumeration date
02/11/2016
Last updated
11/23/2022
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