Harbor, Mary C

Harbor, Mary C is an individual health care provider with primary practice located at 2435 Ne Cumulus Ave Ste A , Mcminnville OR 97128-8862. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Harbor, Mary C can be contacted via phone (503) 472-6161.

Contact Information

Primary practice address
2435 Ne Cumulus Ave Ste A Mcminnville OR 97128-8862
Phone: (503) 472-6161
Fax: (503) 434-8486
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 01043329 Indiana
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD28620 Oregon

Profile Details

NPI number 1205823986
LBN Legal business name Harbor, Mary C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2005
Last updated Jan 9th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205823986 NPPES
Indiana MEDICAID 200045150A
Indiana MEDICAID 023682

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