Individual
ANDREW ROSS HARBISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9512 NE SACRAMENTO ST, PORTLAND, OR 97220-4340
(503) 415-1501
Mailing address
9512 NE SACRAMENTO ST, PORTLAND, OR 97220-4340
(503) 255-6402
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
166694MD
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
166694
INTERNAL MEDICINE
OR
Enumeration date
08/04/2006
Last updated
01/24/2021
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