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Individual

VALERIAN RAY HARRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1225 NW MURRAY RD STE 101, PORTLAND, OR 97229-5572
(503) 643-2010
Mailing address
8414 SE 13TH AVE, PORTLAND, OR 97202-7104
(907) 232-9203

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
374U00000X
Home Health Aide
Primary

Other

Enumeration date
06/25/2022
Last updated
03/24/2024
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