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NPI Code Detail

MEDICARE: H. THOMAS HARVEY

MEDICARE: H. THOMAS HARVEY
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
1261QP2300XPrimary Care Clinic/CenterMD11557OR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1871919639
Entity Type Code : Organization
Provider Name (Legal Business Name) : H. THOMAS HARVEY
Provider Business Mailing Address
First Line : 1155 MISSION ST SE
Second Line : SUITE 205
City : SALEM
State : OR
Zip : 97302-6228
Country : US
Telephone Number : 503-362-6304
Fax Number :
Provider Business Practice Location Address
First Line : 2995 RYAN DR SE
Second Line : SUITE 200
City : SALEM
State : OR
Zip : 97301-5157
Country : US
Telephone Number : 503-371-7701
Fax Number :
Authorized Official
Title or Position : CLINIC ADMINISTRATOR
Name : MICHELLE ELDRIDGE
Credential :
Telephone Number : 503-362-6304
Provider Enumeration Date : 03/17/2014
Last Update Date : 03/17/2014

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Directions to “H. THOMAS HARVEY ” Practice Location

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