Harris, Jacquelynn Carol

Harris, Jacquelynn Carol is an individual health care provider with primary practice located at 901 Brutscher St D163, Newberg OR 97132-6096. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Harris, Jacquelynn Carol can be contacted via phone (503) 625-9190.

Contact Information

Primary practice address
901 Brutscher St D163 Newberg OR 97132-6096
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X K3747 Texas
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X DO29050 Oregon

Profile Details

NPI number 1336236868
LBN Legal business name Harris, Jacquelynn Carol
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2006
Last updated Dec 11th, 2015 - about 10 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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