Individual
MR. ALAN CHARLES HARRIS I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
2393 NW SHADDEN DR, MCMINNVILLE, OR 97128-6639
(503) 435-9861
(503) 435-9861
Mailing address
2393 NW SHADDEN DR, MCMINNVILLE, OR 97128-6639
(503) 435-9861
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1043550
OR
Other
Enumeration date
11/11/2021
Last updated
11/11/2021
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