Individual
MICHAEL R HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1151 MAY ST, SUITE 201, HOOD RIVER, OR 97031-1526
(541) 387-1300
(541) 386-6224
Mailing address
PO BOX 3390, PORTLAND, OR 97208-3390
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD17422
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
028246
—
OR
Enumeration date
08/11/2005
Last updated
10/05/2020
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