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NPI Code Detail

MEDICARE: ERIC HARRY MD

MEDICARE: ERIC HARRY MD
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
12080P0203XPediatric Critical Care Medicine PhysicianMD00040948WA

General Provider Information

NPI Number : 1811951015
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIC HARRY MD
Provider Business Mailing Address
First Line : 641 8TH AVE
Second Line :
City : FOX ISLAND
State : WA
Zip : 98333-9737
Country : US
Telephone Number : 253-303-1138
Fax Number :
Provider Business Practice Location Address
First Line : 2500 NE NEFF RD
Second Line :
City : BEND
State : OR
Zip : 97701-6015
Country : US
Telephone Number : 541-706-6892
Fax Number : 541-706-6813
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/14/2006
Last Update Date : 05/04/2026

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Directions to “ ERIC HARRY MD” Practice Location

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