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NPI Code Detail

MEDICARE: LAUREN A HARRY MD

MEDICARE: LAUREN A 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
12086S0129XVascular Surgery PhysicianMD221170OR

General Provider Information

NPI Number : 1699108555
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN A HARRY MD
Provider Business Mailing Address
First Line : 10000 SE MAIN ST STE 316
Second Line :
City : PORTLAND
State : OR
Zip : 97216-2470
Country : US
Telephone Number : 503-256-1575
Fax Number :
Provider Business Practice Location Address
First Line : 10000 SE MAIN ST STE 316
Second Line :
City : PORTLAND
State : OR
Zip : 97216-2470
Country : US
Telephone Number : 503-256-1575
Fax Number : 503-253-9848
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/14/2013
Last Update Date : 08/26/2024

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Directions to “ LAUREN A HARRY MD” Practice Location

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