Harris, Jay Edward

Harris, Jay Edward is an individual health care provider with primary practice located at 1058 Ne 12Th St , Bend OR 97701-4412. He recently has only one registered license in Nursing Service Providers / Administrator, which is considered as his primary health care specialty. Harris, Jay Edward can be contacted via phone (541) 530-3066.

Contact Information

Primary practice address
1058 Ne 12Th St Bend OR 97701-4412
Phone: (541) 530-3066
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Administrator 163WA2000X 200341738 Oregon

Profile Details

NPI number 1407160286
LBN Legal business name Harris, Jay Edward
Credentials RN, MSN
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2010
Last updated Aug 3rd, 2010 - about 14 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 1407160286 NPPES
Oregon Other 200341738 OREGON NURSING LICENSE

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