Individual
ANDREA HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
55 NW WALL ST STE 100, BEND, OR 97703-3200
(541) 389-4321
Mailing address
55 NW WALL ST STE 100, BEND, OR 97703-3200
(541) 389-4321
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
26228
OR
Other
Enumeration date
02/12/2021
Last updated
02/12/2021
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