DR. RUSSELL B HARRISON, MD PC (NPI# 1154764405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154764405 |
Entity Type | Organization |
Organization Name | DR. RUSSELL B HARRISON, MD PC |
Other Organization Name | HARRISON FAMILY MEDICINE |
Practice Address |
3207 Sw Perkins Ave Pendleton OR 97801-4465 |
Mailing Address |
Po Box 806 Corvallis OR 97339-0806 |
Practice Telephone | 5412151564 |
Practice Fax Number | 5412151567 |
Mailing Telephone | 5412151564 |
Mailing Fax Number | 5412151567 |
Enumeration Date | 2013-04-16 |
Last Update Date | 2013-05-30 |
Authorized Official Name | DR. RUSSELL B HARRISON (OWNER) |
Authorized Official Telephone | 5412151564 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
MD29141 | OR | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Harrison Family Medicine | Doing Business As Name - Organization |
Street Address |
3207 SW PERKINS AVE |
City | PENDLETON |
State | OR |
Zip Code | 97801-4465 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194769299 | Eastern Oregon Orthopaedic Surgery & Fracture Clinic Inc | Specialist | 3207 Sw Perkins Ave, Pendleton, OR 97801-3215 | 2006-06-16 |
1407234628 | Praxis Medical Group Inc | Durable Medical Equipment & Medical Supplies | 3207 Sw Perkins Ave, Pendleton, OR 97801-4465 | 2015-05-07 |
1477799500 | Kristin Kimmel Schmidtgall | Physician Assistant | 3207 Sw Perkins Ave, Pendleton, OR 97801-4465 | 2008-12-18 |
1013081082 | Eastern Oregon Orthopaedic Surgery & Fracture Clinic, Inc | Durable Medical Equipment & Medical Supplies | 3207 Sw Perkins Ave, Pendleton, OR 97801-3215 | 2006-11-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720637119 | Yvonne Walker | Technician | 821 Se 9th St, Pendleton, OR 97801 | 2019-09-09 |
1083262703 | Praxis Medical Group Inc | Family Medicine | 2450 Sw Perkins Avenue, Pendleton, OR 97801 | 2019-08-27 |
1255826012 | Cosmas Chukwuemeka Nwerem Jr. | Pharmacist | 1900 Sw Court Place, Pendleton, OR 97801 | 2018-06-25 |
1689166811 | Helene Danielle Kuhn | Counselor | 4700 Nw Pioneer Pl, Pendleton, OR 97801 | 2018-06-04 |
1801302849 | Shawna L. All | Massage Therapist | 24 Se Emigrant Ave., Pendleton, OR 97801 | 2017-12-27 |
1033649256 | Sean Collins | Pharmacist | 203 Sw 20th St, Pendleton, OR 97801 | 2017-06-20 |
1073974796 | Channon M Baker | Peer Specialist | 7525 Westgate Bldg #2, Pendleton Creek Crisis Stabilization Unit, Pendleton, OR 97801 | 2016-03-08 |
1689034357 | Carre Biegel | Counselor | 17 Sw Frazer St, Ste 282, Pendleton, OR 97801 | 2016-02-24 |
1073995429 | Jessica Suzanne Pedersen | Massage Therapist | 812 Nw 12th St, Pendleton, OR 97801 | 2015-06-22 |
1861736373 | Christina Northern Northerhn | Social Worker | 331 Se 2nd Street, Pendleton, OR 97801 | 2012-11-21 |
Find all providers in zip 97801 |
Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033527395 | Rural Health Group, Inc. | Clinic/Center | 479 Willis Hare Rd, Pendleton, NC 27862-7033 | 2014-07-30 |
1013254432 | Pendleton Primary Care Clinic | Clinic/Center | 1100 Southgate Ste 9, Pendleton, OR 97801-3940 | 2013-01-04 |
1912329889 | Mark D Walsh | Clinic/Center | 7611 Highway 76, Suite C, Pendleton, SC 29670-9162 | 2014-01-13 |
1285854901 | James H. Walker,iii Dba Sandy Springs Family Practice | Clinic/Center | 5304 Highway 76, Pendleton, SC 29670-9139 | 2007-04-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376158774 | G&h Healthcare Inc | Clinic/Center | 17022 Sw Pacific Hwy Apt 210, Tigard, OR 97224-3400 | 2020-09-11 |
1750906509 | Alpha Care Family Medicine | Clinic/Center | 14455 Sw Allen Blvd Ste 100, Beaverton, OR 97005-4428 | 2020-06-08 |
1104447895 | Beyond Health LLC | Clinic/Center | 6440 Nw Mcmullen Ave, Portland, OR 97229-1158 | 2020-05-04 |
1851942536 | Careatc | Clinic/Center | 1101 W Main St Ste 103, Medford, OR 97501-2966 | 2019-09-24 |
1871153585 | Full Bloom Natural Medicine, LLC | Clinic/Center | 922 Nw Circle Blvd Ste 180, Corvallis, OR 97330-1483 | 2019-06-14 |
1831757475 | Structural Solutions Chiropractic | Clinic/Center | 121 Nw Everett St, Portland, OR 97209-4049 | 2019-05-29 |
1770147357 | Uptown Providers PC | Clinic/Center | 397 Warner Milne Rd, Oregon City, OR 97045-4045 | 2019-04-29 |
1720549058 | Barbara Gilbertson, Do, Inc. | Clinic/Center | 1803b Main St, Klamath Falls, OR 97601-2636 | 2019-03-28 |
1033674841 | Jeremy Mikolai Nd Inc | Clinic/Center | 2540 Ne M L King Blvd, Portland, OR 97212-3732 | 2019-02-06 |
1326531666 | Working Class Medicine LLC | Clinic/Center | 2133 N. Willis Blvd, Studio D, Portland, OR 97217 | 2018-06-12 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.