Individual
KIRSTEN HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
58646 MCNULTY WAY, SAINT HELENS, OR 97051-6210
(503) 397-5211
(503) 397-5373
Mailing address
PO BOX 1234, SAINT HELENS, OR 97051-8234
(503) 397-5211
(503) 397-5373
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
19-QMHPC-00550
OR
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
201502468RN
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
195164
—
OR
Enumeration date
06/24/2015
Last updated
07/11/2019
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