Individual
BRANDON HARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3585 BROADWAY AVE, NORTH BEND, OR 97459-1251
(541) 756-2584
Mailing address
3585 BROADWAY AVE, NORTH BEND, OR 97459-1251
(541) 756-2584
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
AT4508
OR
152W00000X
Optometrist
ODP-100480
ID
Other
Enumeration date
07/23/2019
Last updated
08/20/2020
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