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Individual

CATHY C HARRISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
12360 E BURNSIDE ST, PORTLAND, OR 97233-1042
(971) 279-4800
(971) 279-2051
Mailing address
1776 SW MADISON ST, PORTLAND, OR 97205-1715
(971) 386-2278
(503) 224-4494

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-105540
AL
163W00000X
Registered Nurse
Primary
201243703RN
OR
163W00000X
Registered Nurse
836218
TX
163W00000X
Registered Nurse
841922
CA

Other

Enumeration date
03/06/2017
Last updated
03/06/2017
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