Healthcare Provider Details

I. General information

NPI: 1609770940
Provider Name (Legal Business Name): HILARY HARRIS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 SW RAMSEY AVE
GRANTS PASS OR
97527-5554
US

IV. Provider business mailing address

500 SW RAMSEY AVE
GRANTS PASS OR
97527-5554
US

V. Phone/Fax

Practice location:
  • Phone: 541-472-7000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number390406
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: