Keith W Harless MD

NPI 1053356535 - Specialist - 174400000X

NPI Details
NPI 1053356535
Gender Male
Enumeration Date 06/18/2006
Last Updated 11/21/2012
Entity Type Individual
Active Over 12 years ago
Practice Location
BEND OR, 97701-6324, US
Phone (541) 706-7715
Fax (541) 598-3492
Business Location
PO BOX 5579
BEND OR, 97708-5579, US
Phone (541) 706-7715
Fax (541) 598-3492
Taxonomy Code 174400000X
License State Oregon
License Number MD08626
Remove 1053356535 NPI Number

According to our database, Keith W Harless MD NPI is 1053356535, taxonomy code is 174400000X and license number is MD08626, license state is located at Oregon. Keith W Harless MD physically located at 2275 Ne Doctors Dr, Bend OR, 97701-6324. NPI Number Keith W Harless MD has the Individual type.

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1053356535 NPI number is provided on an as is basis without warranty of any kind. 1053356535 is maintained by the National Plan & Provider Enumeration System. The contents of Keith W Harless MD are for informational purposes only.