Individual
SEAN SCOTT HARPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1105 PORTLAND AVE STE 2, GLADSTONE, OR 97027-2170
(503) 655-2404
(503) 655-1581
Mailing address
PO BOX 92900, PORTLAND, OR 97292-0900
(503) 655-2404
(503) 655-1581
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD126227
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500612468
—
OR
01
—
R149389
MEDICARE PTAN
OR
Enumeration date
04/02/2007
Last updated
01/05/2012
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