Individual
MRS. ARLENE M HARRIS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
111 WEST C STREET, SILVERTON, OR 97381
(503) 982-0232
(503) 982-5637
Mailing address
PO BOX 391, SILVERTON, OR 97381-0391
(503) 873-6111
(503) 873-6113
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0123
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
081380
—
OR
01
—
103148
MEDICARE GROUP
OR
Enumeration date
06/17/2006
Last updated
07/08/2007
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