Individual
DAVID HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
3060 SE STARK ST, PORTLAND, OR 97214-3053
(503) 535-4700
(503) 797-6702
Mailing address
25117 SW PARKWAY AVE STE D, WILSONVILLE, OR 97070-9697
(971) 255-4079
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5091
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005758
—
OR
Enumeration date
05/17/2006
Last updated
06/09/2020
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