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Contact Information

RUSSELL B HARRISON, MD
1600 SE COURT PL
SUITE 201
PENDLETON, OR97801
 Phone: 541-276-1700
 Fax: 541-276-6327
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Military Health Care Provider

171000000X
Indicates primary specialty

NPI Profile & details for RUSSELL B HARRISON · (Male)

NPI Number 1164409173
Status Active
Credentials MD
Entity Individual
Enumeration date 12/30/2005
Last updated 06/29/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • NE License # 23092
  • OR License # MD29141
  • OR Medicaid 500606602
Hospital affiliation(s)
  • GOOD SHEPHERD MEDICAL CENTER - (Critical Access)
    610 NW 11TH STREET
    HERMISTON, OR 97838
  • ST ANTHONY HOSPITAL - (Critical Access)
    2801 ST ANTHONY WAY
    PENDLETON, OR 97801
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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