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Individual

KEITH E HARRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3521 NW SAMARITAN DR STE 101, CORVALLIS, OR 97330-4744
(541) 768-6119
Mailing address
PO BOX 1189, CORVALLIS, OR 97339-1189

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
G42622
CA
207RG0100X
Gastroenterology Physician
Primary
MD151168
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G426220
CA
05
500629626
OR
01
954533818
BLUE CROSS
CA
Enumeration date
11/28/2006
Last updated
09/04/2025
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