Individual
PETER HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTD
Contact information
Practice address
2519 COVE AVE, LA GRANDE, OR 97850-3910
(541) 962-5386
Mailing address
406 2ND ST, LA GRANDE, OR 97850-1117
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
504664
OR
Other
Enumeration date
09/27/2024
Last updated
09/27/2024
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