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Individual

REBECCA ANN HARRISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-6101
Mailing address
2748 NE 19TH AVE, PORTLAND, OR 97212-3318

Taxonomy

Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
MD19929
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
151133
OR
Enumeration date
08/02/2006
Last updated
02/06/2014
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