Harris, Pernell Caroline

Harris, Pernell Caroline is an individual health care provider with primary practice located at 257 Sw Madison Ave , Corvallis OR 97333-4757. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Harris, Pernell Caroline can be contacted via phone (541) 752-7220.

Contact Information

Primary practice address
257 Sw Madison Ave Corvallis OR 97333-4757
Phone: (541) 752-7220
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1922569862
LBN Legal business name Harris, Pernell Caroline
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2019
Last updated Mar 25th, 2019 - about 6 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.

Request for update

Popular Providers