Individual
KATIE LYNN HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
830 NE 47TH AVE, PORTLAND, OR 97213-2212
(503) 215-2429
(503) 215-2429
Mailing address
2808 SE 59TH AVE, PORTLAND, OR 97206-1452
(510) 847-1389
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
11/15/2017
Last updated
11/15/2017
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