Harwin, Fredric M
Harwin, Fredric M is an sole proprietor health care provider with primary practice located at 2525 Nw Lovejoy St Ste 306, Portland OR 97210-2859. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Prosthetics Case Management, Eye and Vision Services Providers / Ocularist. Eye and Vision Services Providers / Ocularist is his primary health care specialty. Harwin, Fredric M can be contacted via phone (503) 229-8490.Contact Information
Primary practice address
2525 Nw Lovejoy St Ste 306
Portland OR 97210-2859
Phone: (503) 229-8490
Fax: (503) 224-0740
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Prosthetics Case Management | 1744P3200X | 51680289 | Oregon |
| Eye and Vision Services Providers / Ocularist | 156FX1700X | 516802-89 | Oregon |
Profile Details
| NPI number | 1689669624 |
|---|---|
| LBN Legal business name | Harwin, Fredric M |
| Credentials | MSC, BCO, BADO, FAMI |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 15th, 2005 |
| Last updated | Aug 24th, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689669624 | NPPES |
| Oregon | MEDICAID | 500605356 | |
| Oregon | Other | 01621900001 |
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