Dale E Harris, MD | |
620 Ranch Road, Reedsport, OR 97467 | |
(541) 271-2163 | |
(541) 271-4058 |
Full Name | Dale E Harris |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 620 Ranch Road, Reedsport, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265464325 | NPI | - | NPPES |
276263 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD14666 (Oregon) | Primary |
Entity Name | North Bend Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407812365 PECOS PAC ID: 5597677716 Enrollment ID: O20031105000138 |
Entity Name | Lower Umpqua Hospital District |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003874819 PECOS PAC ID: 6800703562 Enrollment ID: O20040212000228 |
Mailing Address | Practice Location Address |
---|---|
Dale E Harris, MD 620 Ranch Road, Reedsport, OR 97467 Ph: (541) 271-2163 | Dale E Harris, MD 620 Ranch Road, Reedsport, OR 97467 Ph: (541) 271-2163 |
Robert D Law, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 620 Ranch Road, Reedsport, OR 97467 Phone: 541-271-2163 Fax: 541-271-4058 | |
Ronald E Vail, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 620 Ranch Rd, Reedsport, OR 97467 Phone: 541-271-2163 Fax: 541-271-4058 | |
Michelle Petrofes, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 620 Ranch Rd, Reedsport, OR 97467 Phone: 541-271-2163 Fax: 541-271-4058 | |
Dr. Audrey Chapin Shank, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 620 Ranch Rd, Reedsport, OR 97467 Phone: 541-271-2163 Fax: 541-271-4058 | |
Jason Sargent, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 620 Ranch Rd, Reedsport, OR 97467 Phone: 541-271-2163 |