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General NPI Number Information
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NPI Number | 1508833393
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Entity Type | Individual
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Provider Name | JAMES C. HARVEY MD
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Gender | Male
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Dates
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Enumeration Date | 03/01/2006
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Last Update Date | 10/29/2013
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Provider Practice Location Address
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Address Line | 1100 UPPER DEVON LN
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City | LAKE OSWEGO
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State | OR
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Zip | 97034-6272
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Country | US
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Telephone | 503-706-9978
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Fax |
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Provider Business Mailing Address
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Address Line | 1100 UPPER DEVON LN
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City | LAKE OSWEGO
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State | OR
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Zip | 97034-6272
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Country | US
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Telephone | 503-706-9978
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | MD11342
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License Number State | OR
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