Individual
HEATHER M HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
10600 SE MCLOUGHLIN BLVD, SUITE 206, MILWAUKIE, OR 97222-7428
(503) 888-2654
(503) 296-5635
Mailing address
16337 WITTKE CT, OREGON CITY, OR 97045-3871
(503) 888-2654
(503) 296-5636
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
10713
OR
Other
Enumeration date
01/16/2007
Last updated
07/08/2007
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