Harris, Phaedra D
Harris, Phaedra D is an sole proprietor health care provider with primary practice located at 1025 E Main St , Medford OR 97504. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Harris, Phaedra D can be contacted via phone (541) 779-1282.Contact Information
Primary practice address
1025 E Main St
Medford OR 97504
Phone: (541) 779-1282
Fax: (541) 608-2888
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 18-07-12 | Oregon |
Profile Details
| NPI number | 1851779524 |
|---|---|
| LBN Legal business name | Harris, Phaedra D |
| Credentials | CADC I |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 13th, 2015 |
| Last updated | Aug 1st, 2018 - about 8 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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