Harris, Virginia Lee

Harris, Virginia Lee is an individual health care provider with primary practice located at 5100 Sw Macadam Ave Suite 200, Portland OR 97239-6102. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Harris, Virginia Lee can be contacted via phone (971) 202-5500.

Contact Information

Primary practice address
5100 Sw Macadam Ave Suite 200 Portland OR 97239-6102
Fax: (971) 202-5555
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 200550028NP Oregon

Profile Details

NPI number 1043247059
LBN Legal business name Harris, Virginia Lee
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2006
Last updated Jan 22nd, 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 1043247059 NPPES
Oregon Other 067593032 BLUE CROSS/SHIELD PIN

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