Individual
MR. WILLIAM G HARRIS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1601 SE COURT AVE, PENDLETON, OR 97801
(541) 276-5121
Mailing address
5319 SW WESTGATE DR, 241, PORTLAND, OR 97221-2432
(503) 297-7223
(503) 297-7603
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000338
—
OR
Enumeration date
03/31/2006
Last updated
07/08/2007
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