MEDICARE: AUSTIN JAMES HARRIS DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	6505	OR

General Provider Information

NPI Number	:	1205764974
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AUSTIN JAMES HARRIS DC

Provider Business Mailing Address
First Line	:	5010 GRANGE RD STE 103
Second Line	:
City	:	ROSEBURG
State	:	OR
Zip	:	97471-5846
Country	:	US
Telephone Number	:	541-679-0741
Fax Number	:	541-679-0751

Provider Business Practice Location Address
First Line	:	5010 GRANGE RD STE 103
Second Line	:
City	:	ROSEBURG
State	:	OR
Zip	:	97471-5846
Country	:	US
Telephone Number	:	541-679-0741
Fax Number	:	541-679-0751

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/12/2026
Last Update Date	:	05/12/2026

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