Doctor Name: | KIRSTEN HARRIS |
NPI Number: | 1306228481 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | 201502468RN |
Business Practice Address: | 58646 Mcnulty Way Saint Helens, OR - 970516210 |
Business Phone Number: | 5033975211 |
Business Fax Number: | 5033975373 |
Mailing Address: | Po Box 1234, SAINT HELENS |
State: | OR |
Postal Code: | 970518234 |
Phone Number: | 5033975211 |
Fax Number: | 5033975373 |
NPI Enumeration Date: | 06/24/2015 |
NPI Last Update Date: | 06/24/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WA0400X |
License Number: | 201502468RN |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |