Individual
MR. DALE HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
900 KANE ST, KLAMATH FALLS, OR 97603-3924
(541) 884-3656
Mailing address
900 KANE ST, KLAMATH FALLS, OR 97603-3924
(541) 884-3656
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
90185145851012D
OR
Other
Enumeration date
02/08/2010
Last updated
02/08/2010
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