Doctor Name: | MARK B. HARSHFIELD |
NPI Number: | 1073796751 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PMHNP |
License Number: | 200743382RN |
Business Practice Address: | 998 Library Ct Oregon City, OR - 970454041 |
Business Phone Number: | 5036558401 |
Business Fax Number: | |
Mailing Address: | 2051 Kaen Rd, Suite 367 OREGON CITY |
State: | OR |
Postal Code: | 970454035 |
Phone Number: | 5037425300 |
Fax Number: | |
NPI Enumeration Date: | 12/17/2007 |
NPI Last Update Date: | 10/30/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP0809X |
License Number: | 200743382RN |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OR |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Psych/Mental Health, Adult |
Taxonomy Definition: |