Harris, Victoria V

Harris, Victoria V is an individual health care provider with primary practice located at 100 E. Main Street, Suite C , Medford OR 97501-6041. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as her primary health care specialty. Harris, Victoria V can be contacted via phone (541) 789-4728.

Contact Information

Primary practice address
100 E. Main Street, Suite C Medford OR 97501-6041
Fax: (541) 789-4765
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X MD22278 Oregon

Profile Details

NPI number 1649235219
LBN Legal business name Harris, Victoria V
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2006
Last updated Jul 8th, 2007 - about 17 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 1649235219 NPPES
Oregon MEDICAID 288482

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