Individual
JOSEPH HARCOURT ACTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
24800 SE STARK ST, GRESHAM, OR 97030-3378
(503) 413-8407
(503) 413-6951
Mailing address
PO BOX 3777, PORTLAND, OR 97208-3777
(503) 413-3900
(503) 413-3710
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
31445
AZ
207R00000X
Internal Medicine Physician
31447
AZ
207R00000X
Internal Medicine Physician
Primary
MD153836
OR
207R00000X
Internal Medicine Physician
MD2010-0738
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
71878
BCBS
IA
05
—
82677901
—
AZ
01
—
AZ0743000
BC/BS OF AZ
AZ
01
—
P00089884
RR MEDICARE
AZ
Enumeration date
03/24/2006
Last updated
12/22/2020
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