Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0200X | Radiology | 272413 | OR |
Y | 213ER0200X | Radiology | 272413 | OR |
NPI | 1609991496 |
---|---|
Provider Name | Beverly Harger |
First Address | Portland, OR 97230-3014 |
Second Address | Portland, OR 97230-3014 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/03/2007 |
Last Update Date | 08/07/2007 |